What are the clinical signs and treatment options for herpes zoster ophthalmicus?

The clinical signs of herpes zoster ophthalmicus mainly include eyelid edema, proptosis, and impaired eye movement, which may be accompanied by symptoms such as pain and swelling. For treatment, it is recommended to maintain ocular hygiene and avoid rubbing the eyes. In terms of medication, antiviral drugs such as acyclovir eye drops and ganciclovir eye drops, as well as neurotrophic agents such as mecobalamin tablets and vitamin B1 tablets can be used. Physical therapies, such as semiconductor laser and infrared therapy, can also help reduce inflammation. If the condition is severe—for example, if significant redness and pain occur—surgical treatments such as debridement or conjunctival sac incision may be considered. Additionally, traditional Chinese medicine methods such as acupuncture and cupping can help relieve pain caused by ophthalmic herpes zoster. In summary, treating herpes zoster ophthalmicus requires a comprehensive approach based on clinical manifestations.