What treatment strategies do you use to reduce the risk of post-herpetic neuralgia after herpes zoster ophthalmicus?  

For prevention, our best tool is the VZV vaccine (Shingrix). I recommend that all patients over age 50 consider receiving it. However, if an individual develops VZO and has persistent pain, I begin with antiviral therapy to assess whether subclinical viral activation is contributing to the pain (du...