She rapidly improved with the following:
1. Ganciclovir 0.15% gel (Zirgan) over lesion 5x per day
2. Warm compresses to keep area clean.
3. Bacitracin ointment 2x/day as well to prevent a bacterial super infection.
We could have also used topical acyclovir ointment 5x per day, but have found it hard to get for patients in our area.
The eye was not involved.
If it had been I would have given Trifluridine 1% eye drops 5x/day or Vidarabine 3% ointment 5x/day [sometimes only available at Leiter pharmacy: www.leiterrx.com] or Ganciclovir 0.15% gel (Zirgan)