医
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滴状角膜、衣玉品、带状疱疹样外观、鼻尖或鼻翼出现...、角膜溃疡、角膜炎、感觉障碍
Herpes zoster ophthalmicus may cause blepharitis/conjunctivitis/keratitis/scleritis/uveitis/retinitis (acute retinal necrosis)/optic neuritis/ophthalmoplegia. 60% develop zoster keratitis with corneal scarring/visual loss; incidence rising.
Drop-shaped cornea; Yi Yupin; zosteriform appearance; tip of nose...; corneal ulcer; keratitis; sensory disturbance
Primary infection (45%): VZV = varicella virus; after primary infection, latent in dorsal root/cranial sensory ganglia; reactivation on lowered immunity → zoster (V1 trigeminal most common). Secondary (45%): reactivation in trigeminal ganglion; immunocompromised (HIV/transplant/cancer/surgery/trauma) at risk. Mechanism: direct viral invasion; host inflammatory reaction; autoimmunity; secondary changes from reduced corneal sensation/abnormal lid/lacrimal film.
Drug therapy, supportive therapy
Rest; balanced life; positive attitude.
It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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