Part 2 of this article discusses the nature of complications in herpes zoster ophthalmicus, which can be some of the most debilitating aspects of the disease.
The incidence of herpes zoster ophthalmicus in the general population is about 1 in 1000. The typical presentation is a vesicular rash in the dermal distribution of the ophthalmic division of the trigeminal nerve (see Figure 1). Complicated disease occurs in over 50% of cases, with the risk increased in elderly and immunocompromised patients.
Part 2 of this article discusses ocular and neurological complications of herpes zoster ophthalmicus, and complements the discussion about diagnosis and management of uncomplicated disease that was presented last month.