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Inflammatory & Trauma
H. zoster Blepharitis

  • Unilateral condition.
  • Clinical features:
    • Symptoms:
      • Systemic symptoms: fatigue, malaise and low-grade fever
      • Dermatomal pain involving the involved division of trigeminal nerve (CN V)
    • Nummular or geographic areas of erythematous papules that evolve into vesicles on an erythematous base over several days, eventually become ulcerated, suppurated and crusted.
  • Management:
    • Moist compresses.
    • Topical antibiotics (avoid secondary infection).
    • Oral antivirals within 72 hours of onset:
      • Reduces viral shedding
      • Decreases systemic dissemination of virus
      • Ameliorates incidence of most common ocular complications
      • No effect on post herpetic neuralgia

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