Herpes Zoster Ophthalmicus (HZO)

Abstract

Herpes Zoster Ophthalmicus (HZO) is a reactivation of the varicella-zoster virus that can cause serious ocular complications, particularly in elderly patients. We report a case of a 60-year-old female presenting with unilateral facial vesicular rash, right eye pain, redness, and decreased vision. Ophthalmologic examination showed conjunctival hyperemia, pseudodendritic keratitis, corneal infiltrates, and suspected anterior uveitis, with a positive Hutchinson’s sign. Laboratory findings were within normal limits. The patient was diagnosed with Herpes Zoster Ophthalmicus complicated by keratitis and anterior uveitis and was treated with systemic antiviral and supportive topical therapy. Early recognition and appropriate management are essential to prevent vision-threatening complications