People younger than 50 years of age who present with herpes zoster lesions of the face or eyelids should be considered for HIV testing. Corneal involvement can cause a persistent, chronic epithelial keratitis. Treatment consists of systemic and topical acyclovir. These patients should receive periodic monitoring with retinal examinations to ensure that posterior segment involvement does not occur.
Excerpted from BCSC 2020-2021 series: Section 9 - Uveitis and Ocular Inflammation. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.