What is the role of antiviral therapy in the treatment of herpes zoster ophthalmicus?

Updated: Jan 25, 2019
  • Author: Camila K Janniger, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

A study by Morgan and King showed that the eye was the most common site of zoster involvement in patients requiring hospital admission. [107] Pain was the main complaint.

Two trials comparing oral acyclovir with famciclovir or valacyclovir in patients with herpes zoster ophthalmicus (HZO) found outcomes to be comparable with any of the regimens. [108, 109] Patients with diagnosed or suspected HZO should receive antiviral therapy and should be promptly referred to an ophthalmologist.


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