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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Shingles, Pressure And Pain In Sinus Cavity, Rash Around Face, Blurred Vision. Any Concerns ?

I have shingles and have experience tremendous pressure and pain due (what my optomologist) believes is pressure from my shingles developing in my sinus cavity. My shingles started on the back of my right side of my neck and rash has wrapped around to my face. the rash on my face isnt bad, just red by my eye...but the opt says my vision is good its just the nerves are pressing and causing pain and blurred vision . Sorry had dilation today hard to see well. Should I see and ent . ?
Mon, 22 Jul 2013
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Ophthalmologist,  's  Response
Shingles occur due to herpes zoster virus which gets reactivated to affect the dermatome of neck and face when the immune system of the body comes down.They manifest as skin eruption on the neck and face region.the lesion s are painful associated with fever , mailase, headache.If it affects the eye its called hZO( herpes zoster ophthalmicus).The eyes may have tearing , redenss, decrease in vision.It may affect any layer of eye.treatment includes 800 mg Acyclovir tab 5 times a day for 7 to 10 days.If there is interstitial keratitis or uveitis then topical steroids are started.If it is associated with retinitis , choroiditis, scleritis or optic neuritis the oral or intravenous steroids ate recommended. Neuropathic pain respond well to amitriptyline tab.Capsaicin cream can be applied on rashes to decrease pain......TC
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Have Shingles, Pressure And Pain In Sinus Cavity, Rash Around Face, Blurred Vision. Any Concerns ?

Shingles occur due to herpes zoster virus which gets reactivated to affect the dermatome of neck and face when the immune system of the body comes down.They manifest as skin eruption on the neck and face region.the lesion s are painful associated with fever , mailase, headache.If it affects the eye its called hZO( herpes zoster ophthalmicus).The eyes may have tearing , redenss, decrease in vision.It may affect any layer of eye.treatment includes 800 mg Acyclovir tab 5 times a day for 7 to 10 days.If there is interstitial keratitis or uveitis then topical steroids are started.If it is associated with retinitis , choroiditis, scleritis or optic neuritis the oral or intravenous steroids ate recommended. Neuropathic pain respond well to amitriptyline tab.Capsaicin cream can be applied on rashes to decrease pain......TC