An adult patient with a history of chickenpox is evaluated for eye problems for the last 3 days. For the past week,
the patient has been feeling very stressed from their job as a construction worker. They started feeling a painful
sensation alongside the rim of their right eye. Within a few days, a rash started developing in a specific region
around the right eye, and they're worried that it is something very serious. The right eye has been itchy, swollen,
and red for the last 3 days and has had a persistent watery discharge. The patient denies vision changes. The
patient's temperature is 98.3 degrees F, HR is 80, RR is 16, and BP is 110/70. A physical exam of the eye reveals the
picture shown below with an altered pupillary reaction. Which of the following is the next best step in
management?
A. Cold compresses
B. Acyclovir (Zovirax)
C. Topical azithromycin ointment (Zithromax)
D. Topical erythromycin ointment (Erythrocin) and oral azithromycin (Zithromax)
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