This is a classic presentation of herpes zoster in the opthalmic division of the fifth cranial nerve. The tip of the nose is not involved, therefore, neither is the cornea. Early aggressive management is mandatory. Herpes zoster (also known as shingles) is caused by the varicella virus, the same virus that causes chickenpox in children and young adults. The initial manifestation of the infection is normally pain which may be aching, sharp, constant, or recurrent along the course of the nerve. For more information about herpes zoster, click here.