Herpes Zoster Ophthalmicus (HZO) is an ocular infection caused by reactivation of the varicella zoster virus, characterized by a vesicular rash around the eye, eye pain, redness, and decreased vision, with corneal examination revealing linear branching ulceration on fluorescein staining.
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Deep Dive
Can a simple eye exam reveal a dangerous virus This case of Herpes Zoster Ophthalmicus shows howAdded:
In this second part, we will continue with high-yield ophthalmology cases, focusing on infectious conditions, refractive errors, and age-related vision loss.
Case three, an 89-year-old woman comes to the emergency department due to worsening eye pain.
She developed a rash around the left eye yesterday, and this morning began experiencing left eye pain, redness, and decreased [music] vision.
Physical examination shows scattered vesicles on the left side of the forehead, nose, and both upper and lower eyelids.
Eye examination reveals conjunctival erythema, and fluorescein staining demonstrates linear branching ulceration of the cornea.
The most likely pathogen responsible is varicella zoster virus.
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