Steroids
Corticosteroids do not appear to decrease the risk of long-term pain. Side effects however appear to be minimal. Their use in Ramsay Hunt syndrome had not been properly studied as of 2008. Zoster ophthalmicus
Treatment for zoster ophthalmicus is similar to standard treatment for shingles at other sites. A trial comparing acyclovir with its prodrug, valacyclovir, demonstrated similar efficacies in treating this form of the disease. The significant advantage of valacyclovir over acyclovir is its dosing of only three times/day (compared with acyclovirs five times/day dosing), which could make it more convenient for people and improve adherence with therapy. Prognosis
The rash and pain usually subside within three to five weeks, but about one in five people develops a painful condition called postherpetic neuralgia, which is often difficult to manage. In some people, shingles can reactivate presenting as zoster sine herpete: pain radiating along the path of a single spinal nerve (a dermatomal distribution), but without an accompanying rash. This condition may involve complications that affect several levels of the nervous system and cause many cranial neuropathies, polyneuritis, myelitis, or aseptic meningitis. Other serious effects that may occur in some cases include partial facial paralysis (usually temporary), ear damage, or encephalitis. Although initial infections with VZV during pregnancy, causing chickenpox, may lead to infection of the fetus and complications in the newborn, chronic infection or reactivation in shingles are not associated with fetal infection.There is a slightly increased risk of developing cancer after a shingles episode.
For this reason, knowledge of these herpes virus conditions was limited to severe cases. DNA techniques have made it possible to diagnose "mild" cases, caused by VZV or HSV, in which the symptoms include fever, headache, and altered mental status. Mortality rates in treated people are decreasing. References
Further reading
Saguil A (November 2017). "Herpes Zoster and Postherpetic Neuralgia: Prevention and Management". American Family Physician. 96 (10): 656–663. PMID 29431387. External links

NINDS Shingles Information Page, National Institute of Neurological Disorders and Stroke