Herpes Zoster Ophthalmicus l Unusual Painless Wound Over Forehead Real Case in Elderly Medicos Factz скачать в хорошем качестве

Herpes Zoster Ophthalmicus l Unusual Painless Wound Over Forehead Real Case in Elderly Medicos Factz

This video is for educational purposes only. It is intended for medical students and healthcare professionals. Patient identity has been protected. Management should always be individualized according to clinical context and expert consultation. 🧾 Case Summary A 75-year-old female, living alone, presented with a large crusted erosive lesion over the right forehead and upper eyelid region. She reported no pain or fever. There was no history of diabetes, hypertension, trauma, or burn. On examination, the lesion was unilateral, dermatomal, and non-tender, involving the area supplied by the ophthalmic branch of the trigeminal nerve (V1). The most likely diagnosis was Herpes Zoster Ophthalmicus, now in the crusted/late healing stage. 🧫 Procedure Details Area gently cleansed with Normal Saline to remove crusts and debris. Aseptic wound care done. Topical antiseptic (Povidone-Iodine) and protective dressing advised. Systemic antiviral therapy (Acyclovir/Valacyclovir) and ophthalmic evaluation recommended to prevent eye complications. Patient advised on eye protection, hygiene, and nutrition. 🩹 Educational Points 1. Herpes Zoster Ophthalmicus results from reactivation of the Varicella-Zoster Virus in the ophthalmic division of CN V. 2. Commonly affects elderly or immunocompromised individuals. 3. Pain may be absent in elderly due to postherpetic sensory loss. 4. Early antiviral therapy within 72 hours can reduce severity and complications. 5. Ophthalmic involvement requires urgent eye evaluation to prevent corneal ulceration or blindness. 6. Maintain clean wound care with saline and antiseptics to prevent secondary infection. #HerpesZoster #ZosterOphthalmicus #SkinLesion #MedicosFactz #MedicalEducation #Dermatology #ViralInfection #ClinicalCase #DoctorInRuralNepal #NSWash #Acyclovir