Shingles of the Eye: Care Instructions
Overview
Shingles of the eye is a painful viral infection on the eye. It can also cause swelling of the eyelid. Most people have a rash and blisters on the forehead, nose, and upper eyelid. It's caused by the same virus that causes chickenpox.
Shingles of the eye starts with pain and tingling on one side of your forehead or nose. In the eye, it can cause pain, redness, swelling, sensitivity to light, and blurry vision. If it gets worse, it can lead to some loss of vision or blindness.
Quick treatment is needed. Your doctor may give you medicines to take by mouth to treat the virus, plus eyedrops or ointments. You may have a strict treatment plan that involves taking medicine several times a day. Your doctor will watch your progress closely. Treatment is usually done at home. Severe cases may be treated in a hospital.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
How can you care for yourself at home?
- Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine.
- If the doctor gave you a prescription medicine for pain, take it as prescribed.
- If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
- Try not to scratch or pick at any blisters on your skin. They will crust over and fall off on their own if you leave them alone.
- Put cool, wet cloths on the area to relieve pain and itching. You can use calamine lotion on the blisters on your skin. But don't get any lotion in your eye.
- Avoid close contact with people until the blisters have healed. The blisters contain the chickenpox virus. It can be spread to other people. It is very important for you to avoid contact with anyone who has never had chickenpox or the chickenpox vaccine. Pregnant women, young babies, and anyone else who has a hard time fighting infection (such as someone with HIV, diabetes, or cancer) are most at risk.
When should you call for help?
Call your doctor or nurse advice line now or seek immediate medical care if:
- You have new or worse eye pain, or your vision gets worse.
- You have a new or higher fever.
- You have a severe headache and a stiff neck.
- You feel depressed.
- You can't think clearly.
- Blisters spread to new parts of your body.
Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:
- The rash has not healed after 2 to 4 weeks.
- You still have pain after the rash has healed.
Where can you learn more?
Go to https://www.healthwise.net/patientEd
Enter P400 in the search box to learn more about "Shingles of the Eye: Care Instructions".
Current as of: June 5, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.