Herpes Zoster Keratitis

The Facts About Herpes Zoster Keratitis

Herpes zoster keratitis is a contagious causation of ocular inflammation by herpes simplex virus, Varicella zoster, Coxsackie virus, or other virus type that affect surface epithelium of cornea of those affected.

The most distinguishing symptom of a keratitis herpes zoster is a sore or burning sensation around the eye or eyelid that can look like a red-rimmed 'v'. It can present as a red, scaly, crusted lesion. It may also have small or large blisters at the site of the inflammation. In some cases, the affected eye may become sensitive or watery, and the area around the eye may swell, as well.

The condition is usually caused by HSV-1 or HSV-2 and can be spread easily through contact with infected mucous membrane, saliva, or other body fluids.

Common Causes of Herpes Zoster Keratitis:

  • A weakened immune system caused by various illnesses, such as HIV, AIDS, or cancer.
  • Complications from the varicella-zoster virus
  • The sharing of body fluids, such as saliva, with someone with an infection.
  • Contact lenses that are not cleaned and disinfected properly.
  • Infection of the eye from the herpes simplex virus.

Treatment for Herpes Zoster Keratitis

Treatment of herpes zoster keratitis depends on the severity of the infection and the person's overall health. Treatment may include one or more of the following:

  • Oral and topical antiviral medications, such as acyclovir (Zovirax) or valacyclovir (Valtrex).
  • Topical corticosteroids, such as prednisolone, to reduce inflammation and swelling.
  • Lubricating eye drops and ointments to keep the eye moist and reduce discomfort.
  • Surgery, such as corneal grafting, to improve the vision and reduce scarring.
  • Immunosuppressive therapy to reduce the risk of recurrence.

Patients should follow their doctor's instructions closely and keep all follow-up appointments to ensure successful treatment of their infection.