Certified Wound Specialist (CWS ) Practice Test

When a shingles rash appears on the face, especially around the eyes, it poses a significant risk of complications, including ophthalmic zoster, which can lead to serious conditions such as keratitis or even vision loss. Referring the patient to an ophthalmologist is crucial in this situation because they can assess the involvement of the eyes and provide the appropriate care to prevent long-term damage. The face is a sensitive area where the trigeminal nerve branches are located, and any involvement can complicate the injury, making specialized evaluation and treatment essential.

Other options, such as merely observing for a few days or applying topical ointments, do not adequately address the potential risks associated with facial involvement in shingles. Similarly, while initiating antiviral therapy is important in managing shingles, it should ideally be done in conjunction with or following an evaluation by an ophthalmologist when the rash is located on the face to ensure comprehensive care.