Herpes zoster ophthalmicus Herpes zoster ophthalmicus Herpes zoster ophthalmicus (HZO) and also known as ophthalmic zoster is a disease characterised by reactivation of dormant varicella zoster virus residing within the ophthalmic nerve (the first division of the trigeminal nerve). This condition is an important subtype of shingles, representing 15% of all cases. Herpes zoster ophthalmicus is transmitted via direct contact or droplets. Varicella zoster virus is a DNA virus which produces acidophilic intranuclear inclusion bodies. The virus is neurotrophic in nature. The frontal nerve is more commonly affected than the nasociliary nerve or lacrimal nerve. Anterior uveitis develops in 40–50% of cases with
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