眼部带状疱疹的中西医治疗进展

Progress in Integrated Traditional Chinese and Western Medicine Treatment of Herpes Zoster Ophthalmicus

摘要: 眼部带状疱疹(Herpes Zoster Ophthalmicus, HZO)是由水痘–带状疱疹病毒(VZV)在三叉神经眼支感觉神经节内重新激活所致的感染性疾病。其特征为沿三叉神经眼支分布的疼痛性皮疹、眼部炎症(如结膜炎、角膜炎、葡萄膜炎)及潜在严重并发症(如角膜瘢痕、视神经病变、带状疱疹后神经痛)。近年来，中西医结合治疗在改善症状、缩短病程及减少后遗症方面展现独特优势。本文基于系统性的文献研究，综述近十年中西医治疗进展，旨在为临床合理选择治疗方案提供参考。

Abstract: Herpes zoster ophthalmicus (HZO) is an infectious disease caused by the reactivation of varicella-zoster virus (VZV) in the sensory ganglion of the ophthalmic division of the trigeminal nerve. It is characterized by painful rashes distributed along the ophthalmic branch of the trigeminal nerve, ocular inflammation (such as conjunctivitis, keratitis, uveitis), and potentially severe complications (such as corneal scarring, optic neuropathy, and postherpetic neuralgia). In recent years, integrated traditional Chinese and Western medicine treatment has shown unique advantages in improving symptoms, shortening the course of the disease, and reducing sequelae. Based on a systematic literature review, this paper summarizes the progress of traditional Chinese and Western medicine treatments in the past decade, aiming to provide a reference for the rational selection of clinical treatment regimens.