Oral corticosteroids |
Within 72-hs of symptom onset |
Prednisone 50 mg daily for 10-days |
Prednisone 60 mg daily for 5-days, then tapered over 5-days |
Oral antivirals |
Within 72-hs of symptom onset |
Valacyclovir 100 mg 8/8 h for 7-days |
Protective eye care |
Throughout symptomatic course |
Daytime: preservative-free eye drops, to the affected eye, hourly |
At night: ointment formulation of artificial tears to the affected eye + eyelid taping with moisture chamber |
Surgically placed external eyelid weights should be considered for complete flaccid paralysis without improvement after 8–10 weeks |