4 classification of ocular presentations
Emergency
Urgent
Priority
Routine
Emergency ocular presentation
RIGHT NOW sudden vision loss flashes of light/new floaters any chemical to eye diplopia
Urgent ocular presentation
TODAY ocular pain red eye foreign body corneal abrasion
Priority ocular presentation
THIS WEEK
itchy eye
painful bump on eyelid
Routine
NEXT AVAILABLE
vision has changed over past few months
bump on eye
non-painful bump on eyelid
Who gets herpes zoster ophthalmicus
70 and older
Hutchinson sign
naso-ciliary branch of trigeminal nerve. tip of nose and often cornea involved
Clinical herpes zoster ophthalmicus
skin rash respective to dermatome and hutchinson sign
Treat herpes zoster ophthalmicus
Erythromycin ointment to skin lesion
Valacyclovir 1gPO x 7 days
Watch for post herpetic neuralgia