Medical Image showing vesicles, erythema and swelling in the distribution of ophthalmic division of trigeminal nerve in a 37 year old female patient, presenting with fever and headache for five days associated with facial swelling and pain for three days. The patient was diagnosed with Herpes zoster ophthalmicus which was confrmed by a Tzanck smear. She was started on acyclovir 800mg fve times a day along with acyclovir eye ointment and lubricating eye drops and strict glycemic control. The lesions resolved by day 12 and patient has been asymptomatic 2 months of follow up. The disease is characterized by reactivation of dormant, neurotropic, DNA virus called varicella zoster which resides within the ophthalmic division of the trigeminal nerve.