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Eduardo Arenas, Fernando Alvizu; Effective treatment of Herpes Zoster Ophthalmicus Acute with a single injection preauricular. Invest. Ophthalmol. Vis. Sci. 2013;54(15):2914.
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The purpose of this publication is to introduce a new way of effective treatment for the management of ophthalmic acute Herpes Zoster.
We present three consecutive cases where a single injection of a combination of acyclovir and Bethametasone Dipropionate/ sodium phosphate placed deep in the preauricular affected zone The procedure starts with the placement of 3 cc of lydocaine to avoid pain, wait 3 minutes and then throughout the same needle which is kept in place Inject a mixture of 1cc of Acyclovir and 1 cc. of Bethametasone depot
The dose applied was enough to stop the clinical evolution of the disease in all three cases. Pain and skin lesions slowed next day after the treatment and all signs and symptoms disappeared completely two weeks after. None of the cases developed post herpetic neuralgia .
We believe that the physiopathological fast response of this method may be explained, by the well known anterograde and retrograde axonal flux of the peripheral trigeminal nerves that in this disease compromise the trigeminal ganglia.
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