What is the primary non-pharmacological management for HZO without acute lesions?

The primary non-pharmacological management for herpes zoster ophthalmicus (HZO) without acute lesions involves rest and general supportive measures. This approach is essential because it allows the body to recover and heal from the viral infection while minimizing the risk of complications.

Rest is particularly important as it helps to reduce stress on the immune system, which may be already compromised due to the viral infection. General supportive measures may include hydration, a balanced diet, and adequate sleep, all of which contribute to the overall well-being and promote healing. Such supportive care can also help in managing symptoms like fatigue or malaise, which are often associated with viral infections.

The other options suggest actions that may not be appropriate. Advising against all physical activity could be excessive; moderate activity may actually be beneficial unless it exacerbates symptoms. Immediate surgical intervention is not warranted in cases without acute lesions, as HZO typically requires a more conservative treatment approach unless complications arise. The application of hot compresses may provide temporary relief for discomfort but does not address the underlying condition, making it less suitable as a primary management strategy. Therefore, the emphasis on rest and supportive care stands out as the most appropriate action in this situation.