? Posterior Scleritis

Interesting case today, px referred by GP with suspected HZV with facial pain and possible ocular involvement. Thankfully I asked for a medical report from the GP. I didnt know at the time but very complicated GH history but also treated in 2010 for posterior scleritis on reading the report. Px had completely forgotten but … Continue reading "? Posterior Scleritis"

HZV Advice Please

HZV Presented last week, skin vesicles and epscleritis, Put on Tablet Acyclovir for 1 week, Review today now dendritic epithelial lesion which wasn’t there before. Symptoms better less pain but still episcleritis. Asked for further course of Acyclovir, decided to be patient and sit tight on steroid use for obvious reasons, and px starting to … Continue reading "HZV Advice Please"

Espisclearitis in HSO

Seen someone today with history of Herpes Zoster and recurrent vesicle on nose, eye never been infected before. Presented today with pink conj eye and pins and needles feeling. Exam: Episcleritis view but no corneal involvement. Considered options for episcleritis but suggested Gancyclovir for week (not Acyclovir since product recall) with topical lubricants and then … Continue reading "Espisclearitis in HSO"