What is a common neurological complication of HZO?

HZO, or herpes zoster ophthalmicus, is a reactivation of the varicella-zoster virus that can lead to shingles affecting the trigeminal nerve, specifically the ophthalmic branch. This condition can lead to various complications, particularly those involving the eye and neurological system. Optic neuritis, which is characterized by inflammation of the optic nerve, can occur as a result of the viral infection, leading to vision loss. This complication is considered a common neurological outcome for patients with HZO due to the close association between the herpes zoster virus and the nervous system.

Retinal detachment, while it can occur as a complication of other eye conditions, is not directly linked to HZO and is less common in this context. Hearing loss and verbal aphasia are also not typically associated with HZO, as they relate to different neurological pathways and impacts. Therefore, the response that identifies optic neuritis aligns directly with the known neurological implications of herpes zoster ophthalmicus, making it the most accurate choice.