Herpes simplex type 2 eye infection home,genital herpes 6 weeks 3 days,jan wouters - PDF Review

admin 06.09.2013

The Herpes Simplex Virus, known as HSV, is occasionally responsible for the development of herpes of the eye, with epithelial keratitis being the most common variation. Herpes keratitis is the most common of the eye herpes and also goes by the name herpetic epithelial keratitis – it affects the cornea on the top superficial layer of the surface of the cornea, and since this layer is called the epithelium the adjective epithelial is applied to it. Eye herpes, or ocular herpes as it’s sometimes called, normally comes from type 1 herpes – the cold sore type – but on rare occasions it can come from type 2 herpes which affects the genital area and is far more serious. Whilst herpes cold sores can be treated by oneself without resort to a visit to the doctor, any kind of eye herpes needs to be brought to the attention of therapeutic optometrist or an ophthalmologist for urgent attention. Great care needs to be taken by the eye-care professional in determining which variation is present as treatments are specific and an inappropriate treatment can lead to aggravation. A past symptom is the occurrence at some time or other of type 1 herpes – cold sores on the lips. Eye pain, sensitivity to light, blurred vision and “pink eye” are regular symptoms with excessive tearing being an additional discomfort. Diagnosis requires careful examination with a microscope specific for eyes called a biomicroscope.  This is not a diagnosis that a general practitioner can make and it is certainly not something that you would go to the pharmacist for over the counter drops. Millions of people have a dormant herpes virus inside them from being unintentionally infected by family members kissing them as a young child on the lips.
Fortunately less than 1% of those people will ever have an episode of general herpes, and then less than 1% of those will suffer from epithelial keratitis. As mentioned earlier, care is needed in accurately identifying the particular epithelial keratitis as treatment is specific. An antiviral topical ointment (Zovirax) or alternatively eye drops should be applied – not to eradicate the virus entirely but to slow its growth until nature takes its course and the infection clears up – a sound way to do things! It’s important then that the full course of treatment is followed – many eye-care specialists complain that patients do not do this, thinking that their condition has cleared up when this is simply not the case. Dr Jim Kokkinakis (Optometrist) graduated in 1983 from the Optometry School University of NSW.
He has a specialist clinical practice in the Sydney CBD with interests in Eye Strain, Computer Vision problems, Treatment of Eye Diseases and complex Contact lens Fittings. Please tell me where you are located as this requires a second opinion as soon as possible. The right fundal midperiphery, showing multifocal infiltrates and patchy mild retinal vasculitis.


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There are a number of herpes eye variations depending on where in the eye the herpes itself decides to initiate its inflammatory action. All of these symptoms are indications of other eye diseases and infections, particularly conjunctivitis, so an accurate diagnosis for epithelial keratitis is often fraught with difficulty.
It is essential in such cases that the services of an eye-care specialist such as an optometrist are sought early as loss of vision might be a long term outcome.
After treatment (pred forte) she continued to suffer from keratitis and it has become a chronic condition.
Close-up of the eye of a 2-year- old girl showing a blister due to herpes simplex on her lower eyelid. It is now 8 months since her initial diagnosis and the opthalmologist has now told us that the condition, which initially was considered post viral keratitis has now changed, and has become herpetic.
The small, fluid-filled blister (at centre) has been caused by infection with herpes simplex virus type 1. The infection is usually associated with the mouth, lips and face, It is contagious, extremely common and symptoms are usually mild. However infection can be fatal in patients with a deficient immune system, such as occurs in acquired immune deficiency syndrome (AIDS). Type 1 virus is the usual cause of cold sores around the mouth, and herpes simplex infection in the eye. It is commonly passed on by close contact such as kisses from a family member who has a cold sore.) In many people the primary infection does not cause any symptoms, although in some cases symptoms do occur. A minor and temporary inflammation of the conjunctiva (conjunctivitis) or eyelids (blepharitis) may occur with active infection, often at the same time as the cornea is infected.
Often people who get active eye infection will have had previous cold sores during their lifetime. They may also put some stain on the front of your eye to show up any irregular areas on the cornea.
If your doctor suspects a herpes eye infection you will usually be referred urgently to an eye specialist.


This is to confirm the diagnosis and to determine whether the infection is in the top layer of the cornea (epithelial keratitis), or if the deeper layers are involved (stromal keratitis). These do not kill the virus but stop it from multiplying further until the infection clears. You are likely to be kept under review, until the infection clears, to check that the cornea does not become infected. Note: if you have herpes simplex eye infection, you should stop wearing any contact lens until 24 hours after your symptoms and the infection have completely gone away.
As mentioned above, these occur if the virus reactivates from time to time - similar to cold sores. A recurrent infection may occur any time between a few weeks and many years after the first active infection. At least half of people who have one episode of active infection will have a recurrence within 10 years of the first.
If recurrences are frequent or severe, then your eye specialist may advise that you take antiviral tablets each day to prevent episodes of active infection. Studies have shown that, on average, the number of recurrences is roughly halved in people who take regular antiviral tablets.
Some people say that episodes of active herpes infection may be triggered by strong sunlight.
It is also possible that active infection may be triggered if you are run down or unwell for another reason. Some women find that they get recurrences around the time of their period but again there is limited evidence to support this. However, severe and recurrent herpes simplex eye infections may lead to serious scarring, impaired vision and even blindness in some cases.



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