Managing ophthalmic herpes zoster in primary care

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Abstract
Introduction During their professional career, most general practitioners will be consulted by various patients with an acute manifestation of ophthalmic herpes zoster. In addition to the diagnostic dilemma that doctors face in the initial phase of the disease, they may be uncertain about the course and treatment (when is referral indicated, who should be prescribed antiviral medication?). We present an evidence based policy. Herpes zoster (shingles) is a commonly encountered disorder in general practice. One fifth of the population, mainly elderly people, will present with this neurocutaneous infection during their lifetime. Most immunocompetent patients will experience spontaneous and complete recovery within a few weeks. Some, however, will develop complications such as postherpetic neuralgia and, in cases of ophthalmic herpes zoster, sight threatening eye problems. We outline the main points that general practitioners should keep in mind when faced with a case of ophthalmic herpes zoster.