When herpes zoster ophthalmicus presents with retinitis, the treatment approach requires both an initial intensive antiviral phase and an extended continuation with oral antiviral therapy. This page outlines the clinical scenario; the complete structured protocol is available below.
This protocol applies to herpes zoster ophthalmicus in the setting of retinitis. The treatment course for this presentation includes the addition of several months of oral antiviral therapy beyond the initial antiviral phase.
Management involves intravenous antiviral therapy, followed by an extended course of oral antiviral treatment.
Complete regimen, dosing, duration, and sequencing are in the full protocol →
For optic neuropathy or orbitopathy, IV acyclovir is used at a dosage of 10 to 15 mg/kg three times daily for two to three weeks.
The treatment for retinitis is similar, with the addition of several months of oral antiviral therapy.
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