UrgentEmergency
Shingles in the Eye / Herpes Zoster Ophthalmicus
Shingles around the eye can affect the eye surface or inside of the eye.
What is it?
Herpes zoster ophthalmicus (shingles affecting the eye) is caused by reactivation of the chickenpox virus. It causes a painful rash around one eye and can affect vision if the cornea or other eye structures are involved.
Common symptoms
- Painful rash around the eye or forehead
- Eye redness and pain
- Tearing
- Light sensitivity
- Blurred vision
Risk factors
- Previous chickenpox infection
- Age over 50
- Immunosuppression
- Stress or illness
Prevention tips
- Receive the shingles vaccine when eligible
- Seek prompt medical attention if a painful rash develops around the eye or forehead
- Maintain good control of conditions that weaken the immune system
- Avoid close contact with individuals who have not had chickenpox or are immunocompromised while the rash is active
- Attend regular ophthalmic follow-up if eye involvement occurs
Treatment overview
Oral antiviral medication (aciclovir, valaciclovir) within 72 hours of rash onset reduces complications. Eye drops for uveitis, lubrication, and neurotrophic keratopathy are used as needed.
Seek urgent care if you notice
- Sudden vision loss
- Severe eye pain
- New flashes, many new floaters, or curtain-like shadow
Related eye care tips
Have questions about your eyes?
This information is general education and does not replace a professional eye examination. If you are worried about your eyes, book an appointment.