Herpes Zoster Ophthalmicus
Vesicular rash on an erythematous base. Notice that this rash is in the V1 distribution on the left side of the face (top 2 photos) and V2 distribution on the right side of the face (bottom 2 photos). Also note how the rash is divided down face midline.
Contributor: Jordan M. Graff, MD, University of Iowa
Category: External Disease
Classic crops of vessicular lesions cover the V1 area of the left face. Note the sharp vertical demarcation line at mid-face and the sparing of the V2/maxillary region. There is always risk of ocular involvement in these cases.
Herpes zoster ophthalmicus, older images
Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry
*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.
Herpes zoster ophthalmicus (HZO), skin lesions
These three patients demonstrate classic herpes zoster ophthalmicus skin lesion. If a lesion occurs on the tip of the nose, Hutchinson's sign, the chances for serious ocular complications are increased.
With herpes zoster ophthalmicus, lesions on the tip of the nose (sometimes called Hutchinson's sign) increase the potentiality for ocular involvement.
This is a case of HZO with evident cutaneous involvement of the V1 branch of the trigeminal nerve
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.