Related Experiment Video
Updated: Aug 12, 2026

08:31
Porcine Corneal Tissue Explant to Study the Efficacy of Herpes Simplex Virus-1 Antivirals
Published on: September 20, 2021
Current management of ophthalmic zoster
1St Mary's Hospital, London, England.
Australian and New Zealand Journal of Ophthalmology
|August 1, 1990
Summary
Ophthalmic zoster commonly affects healthy individuals, with ocular complications in half of cases. Topical steroids are the primary treatment, requiring careful management and gradual withdrawal for effective ocular zoster management.
Area of Science:
- Ophthalmology
- Virology
- Immunology
Background:
- Ophthalmic zoster (herpes zoster affecting the eye) frequently impacts otherwise healthy individuals.
- Ocular complications arise in approximately 50% of patients with ophthalmic zoster.
Purpose of the Study:
- To review the current understanding and therapeutic approaches for ophthalmic zoster in immunocompetent individuals.
- To clarify the role of systemic therapies in managing ocular complications.
Main Methods:
- Literature review of ophthalmic zoster management.
- Analysis of treatment outcomes for topical and systemic therapies.
Main Results:
- Topical corticosteroids represent the primary treatment modality for ocular manifestations.
- Close patient monitoring and a phased withdrawal of topical steroids are critical for successful outcomes.
- The efficacy and necessity of systemic steroid therapy and acyclovir in immunocompetent patients remain uncertain.
Conclusions:
- Current treatment for ophthalmic zoster relies heavily on topical steroids.
- Further research is needed to establish definitive guidelines for systemic antiviral and steroid use in immunocompetent patients with ophthalmic zoster.
Related Concept Videos
Open Angle Glaucoma: Treatment
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
Angle Closure Glaucoma: Treatment
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
Tonsillitis II: Management
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
Ophthalmic Drug Delivery Systems
Ophthalmic drug delivery faces major limitations due to poor absorption across the corneal membrane. This process is primarily driven by diffusion and is influenced by two main factors: the physicochemical properties of the drug and tear drainage. Most ophthalmic drugs, such as pilocarpine, epinephrine, atropine, and local anesthetics, are weak bases. They are typically formulated at an acidic pH to enhance chemical stability. However, this leads to high ionization, reducing their ability to...
Smallpox
Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.
Chickenpox
Chickenpox is an acute, highly contagious disease caused by the varicella-zoster virus (VZV), a double-stranded DNA virus belonging to the Herpesviridae family. Its transmission occurs primarily through the inhalation of respiratory droplets or direct contact with vesicular fluid from skin lesions. The incubation period typically ranges from 10 to 21 days, during which the virus replicates and disseminates through sequential phases within the host. Although generally self-limiting in children,...

