Determining the Cause

Chief Complaint: Eye Pain

A. History: Located in the Periorbital Area

Differential Diagnosis

Herpes Ophthalmicus,

 

Pivotal Assessment Finding

Further History

 

Herpes zoster ophthalmicus (HZO) is a reactivation of the varicella-zoster virus (VZV) involving the ophthalmic division (V1) of the trigeminal nerve. Early and accurate diagnosis is essential to prevent ocular complications.

Diagnosis of Herpes Zoster Ophthalmicus:

1. Clinical History

  • Prodrome: Pain, burning, or tingling in the forehead, scalp, or around the eye (typically 1–5 days before rash).

  • Acute symptoms: Red eye, tearing, blurred vision, photophobia.

  • Other: History of prior chickenpox or exposure to VZV; immunosuppressed state.

2. Physical Examination

  • Rash: Vesicular eruption in the V1 dermatome (forehead, upper eyelid, tip of the nose).

    • Hutchinson’s sign: Vesicles on the tip or side of the nose indicate nasociliary nerve involvement and higher risk of ocular complications.

  • Ocular findings:

    • Conjunctivitis

    • Episcleritis or scleritis

    • Keratitis (punctate or dendritic lesions)

    • Uveitis

    • Elevated intraocular pressure (IOP)

3. Slit-Lamp Examination (usually by ophthalmology)

  • May reveal:

    • Dendritic keratitis (can resemble herpes simplex but usually has smaller, finer dendrites with tapered ends)

    • Stromal keratitis

    • Anterior uveitis

    • Endotheliitis

4. Laboratory/Diagnostic Tests (not always necessary but helpful in atypical cases)

  • PCR of vesicle fluid or corneal scrapings to detect VZV DNA

  • Direct fluorescent antibody (DFA) testing

  • Tzanck smear: Shows multinucleated giant cells (non-specific, also seen in HSV)

  • Serology: May be supportive but not diagnostic of acute infection

5. Imaging (if needed)

  • Rarely used unless ruling out other causes (e.g., orbital cellulitis or CNS involvement).


When to Refer to Ophthalmology:

  • Always, if the eye is involved or there's periorbital edema, decreased vision, or Hutchinson’s sign.

  • Prompt referral is critical to prevent long-term complications like vision loss or chronic pain.

Let me know if you want a treatment guide or differential diagnosis list too.

 

Determining the Cause

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