Cinical feature

  • Herpes zoster involving the eye

Investigation

  • COPAN swab from de-roofed blister
  • If systemically unwell, consider blood culture
  • Consider HIV testing

Infection Control

  • Isolate with contact precautions
  • Do not place patient in V34
  • Pregnant staff should avoid caring for the patient

Infectious from 2 days before appearance of rash and until all lesions have crusted

Treatment

Discuss patient with ophthalmology

ACICLOVIR IV 10mg/kg 8 hourly (use IBW if obese)

For patients showing a good response, consider IVOS to:

ACICLOVIR PO 800mg 5 times per day 

Duration: 5 days total