Cornea eye protection (Level X)
Artificial tears qhr while patient is awake
Ophthalmic ointment at night
Eye should be taped shut at night
Protective glasses or goggles
Artificial tears qhr while patient is awake
Ophthalmic ointment at night
Eye should be taped shut at night
Protective glasses or goggles
Should be started within 72hrs of symptom onset
Prednisone 60-80mg qday x1wk (Level B Evidence)
Most likely no added benefit when combined with steroids. However also little harm associated with antivirals especially in patients with normal renal function
Valacyclovir 1000mg TID x1 week OR
Acyclovir 400mg 5x per day x1 week
Consider empiric doxycycline if high index of suspicion for Lyme based on clinical presentation or lab data
Bell's palsy
Horner syndrome
CVA
Rucksack paralysis
Trigeminal neuralgia
Third nerve palsy
Tick paralysis
Sixth nerve palsy