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Shingles Eye Symptoms, Causes & Treatment | Bangkok Eye Hospital

Understanding Shingles in the Eye

Shingles, or herpes zoster ophthalmicus, is a viral infection caused by the varicella-zoster virus, the same virus responsible for chickenpox. When reactivated, it can affect the eye, leading to painful rashes, vision problems, and potential complications. At Bangkok Eye Hospital, we provide expert diagnosis and treatment for shingles affecting the eye to prevent long-term damage.

Causes and Risk Factors

What Causes Shingles in the Eye?

  • Varicella-Zoster Virus Reactivation – After a previous chickenpox infection, the virus can remain dormant and later reactivate as shingles.

  • Weakened Immune System – Conditions like aging, stress, or illness can trigger an outbreak.

  • Direct Nerve Involvement – The virus travels along nerve pathways, leading to eye involvement.

Who Is at Risk?

  • Individuals over 50 years old – Higher risk due to a weakened immune response.

  • People with weakened immune systems – Those with conditions like HIV, cancer, or taking immunosuppressive medications.

  • Previous Chickenpox Infection – If you've had chickenpox, the virus can reactivate as shingles.

Symptoms of Shingles in the Eye

  • Painful rash and blisters around the eye, forehead, or nose.

  • Redness and swelling in or around the eye.

  • Blurred vision or light sensitivity.

  • Burning or itching sensation in the affected area.

  • Severe eye pain that may persist even after the rash heals.

Diagnosis and Treatment Options

How Is Shingles in the Eye Diagnosed?

  • Clinical Examination – A doctor examines the skin rash and eye symptoms.

  • Fluorescein Eye Staining – Identifies corneal damage.

  • Polymerase Chain Reaction (PCR) Test – Detects the virus in severe cases.

How Is Shingles in the Eye Treated?

  • Antiviral Medications – Early treatment with antivirals like acyclovir or valacyclovir reduces severity.

  • Corticosteroid Eye Drops – Help manage inflammation and swelling.

  • Pain Relievers – To reduce discomfort and nerve pain.

  • Lubricating Eye Drops – Prevent dryness and irritation.

Potential Complications

If left untreated, shingles in the eye can cause:

  • Corneal ulcers and scarring.

  • Vision loss or permanent eye damage.

  • Glaucoma due to increased eye pressure.

  • Chronic nerve pain (postherpetic neuralgia).

Preventing Shingles in the Eye

  • Get the shingles vaccine (especially for those over 50).

  • Maintain a healthy immune system through proper diet and exercise.

  • Avoid contact with people who have active chickenpox or shingles.

  • Seek medical attention immediately if symptoms appear to prevent complications.

Why Choose Bangkok Eye Hospital for Shingles Treatment?

  • Experienced Ophthalmologists specializing in viral eye infections.

  • Advanced Diagnostic Tools for early and accurate detection.

  • Comprehensive Treatment Plans tailored to each patient.

  • Preventive Care & Vaccination Guidance to reduce future risks.

Schedule an Eye Consultation Today

If you are experiencing eye pain, rash, or vision problems related to shingles, contact Bangkok Eye Hospital for immediate medical attention.

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