# Prolonged Pre‐Eruptive Phase of Herpes Zoster Ophthalmicus in Immunocompetent Athlete: A Case of Delayed Diagnosis and Management Challenges

## TL;DR

This case highlights the delayed diagnosis of a rare eye-related shingles condition in a healthy athlete, emphasizing the need for early detection to avoid severe vision loss.

## Contribution

The paper presents a unique case of prolonged pre-eruptive herpes zoster ophthalmicus in an immunocompetent individual.

## Key findings

- Herpes zoster ophthalmicus can present with headache and eye pain without a rash or typical risk factors.
- Delayed diagnosis can lead to severe complications like permanent vision loss.
- Prompt antiviral treatment is essential during the pre-eruptive phase.

## Abstract

Herpes zoster ophthalmicus should be considered in patients with intractable headache and eye pain, even without rash or classic risk factors. Early recognition of the pre‐eruptive phase and prompt antiviral therapy are crucial to prevent severe complications, including permanent vision loss or blindness.