Understanding Herpes Eye Infection & Shingles (Ocular Herpes Zoster)

Shingles is caused by a reactivation of the varicella zoster virus (VZV), which is one of the human herpes viruses. This virus is also responsible for chicken pox. Sometimes, this infection can involve the eye.

Identification

• Shingles, also known as herpes zoster, is a condition called herpes zoster ophthalmicus (or ocular shingles) when it affects the eye, according to the American Uveitis Society.

Effects

• Herpes zoster ophthalmicus can lead to conjunctivitis with mucous, pus and inflammation of the episclera, cornea and uvea (layers of eye), according to the American Academy of Family Physicians (AAFP).

Considerations

• When a patient is thought to have eye involvement of shingles, she should see an ophthalmologist (eye doctor), according to the AAFP.

Treatment

• Treatment for herpes zoster ophthalmicus varies based on which part of the eye is affected but generally includes antiviral medications and eye drops which lubricate or dilate the eye or which contain an anti-inflammatory corticosteroid, according to the American Uveitis Society.

Complications

• Surgery may be required to relieve pressure in the eye or to protect the cornea from damage (which could lead to blindness), according to the American Uveitis Society.