Left Herpes Zoster Ophthalmicus on Elderly Patients

Authors: Rosani Sri Camelia Nurdin, Andi Nurhaerani Zainuddin, Widyawati Djamaluddin, Safruddin Amin, Dirmawati Kadir, Sri Vitayani, Anni Adriani

Abstract

Introduction: There are about 10%-25% of population with herpes zoster got infected by Herpes Zoster Ophthalmicus (HZO) and 50% of this case got infected on the eyes as well. The clinical manifestation such as erythema lesions, maculopapular, vesicles gregarious and distributed pain in the branch of trigeminus nerve area. A comprehensive treatment will be able to prevent complication and morbidity.

Case Summary: It can be reported that the left Herpes Zoster Ophthalmicus (HZO) case on a 60 year old man with painful watery pustules around the eyes and left forehead. There was positive multinucleated giant cell found in Tzank examination. The patient is given therapy with acyclovir antiviral tablet 5 x 400 mg, gabapentin tablet 2 x 300 mg and dan methylprednisolone tablet 2 x 8 mg to relieve pain and neuroborant tablet.

Conclusion: The recurrence of Herpes Zoster Ophthalmicus (HZO) disease happens when there is reactivation of the latent virus in trigeminal nerve ganglion on ophthalmicus branch. The risk factors increase in accordance with age of a person. The treatment principle of this shingles disease is by relieving the pain, stopping the virus replication and its spread into the eyes.

 

Citation

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Keywords

Age, herpes zoster ophthalmicus, pain

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