usually affecting the cornea of ​​the eye.

To herpes, in whatever form it manifests itself, doctors warn to be taken lightly. If we are talking about the eyes, treatment should be approached with special responsibility - the disease can lead to loss of vision, and in the most difficult cases - to blindness.

Unfortunately, the recurrence of this disease is not uncommon: medicine knows cases when sluggish ophthalmic herpes, having accumulated strength, attacked a person exhausted by an unpleasant and dangerous disease 3-5 times a year.

We talked about what remedies exist for the treatment of herpes on the face.

Thanks to the lacrimal fluid - it contains secretory immunoglobulins that reliably protect our eyes from various infections. Her strength, unfortunately, is not enough if the immune defense of the body as a whole weakens.

In such circumstances, ophthalmic herpes quickly finds a “weak link” and manifests itself in all its “glory”.

The immediate impetus for the start of his hostilities is:

• eye injury;
• contact with a sick person;
• using the same hygiene products with the patient;
• use of immunosuppressants.

An outbreak of the disease can occur in a pregnant woman, because during pregnancy a cardinal restructuring of the body occurs, and the immune system weakens.

Experts identify two ways of infection: endogenous (viral herpes, once in the body, under favorable circumstances, manifests itself in various areas, including the cornea of ​​​​the eye or on the eyeball) and exogenous (the infection enters the mucous membrane of the eye from the outside).

The second option is more common in a child than in adults, because children continually violate the rules of hygiene, participate in common games and can easily catch any infection.

According to medical statistics, 80 percent of infections in young patients occur in the process of exogenous infection.

In the event that a primary infection has occurred, the incubation period lasts from 2 to 7 days.

The disease begins with the same symptoms as an allergy or a bacterial infection (for example, conjunctivitis), and it looks very similar.

Here are some characteristic features:

• the inflamed place itches;
• swollen eye;
• tears flow;
• the eye reacts painfully to bright light;
• redness can be on the eyelids, and on the skin around the eyes, and on the eyeball.

When the initial stage passes, and the disease captures the retina, appear symptoms characteristic of ophthalmic herpes:

If the herpetic lesion continues to develop, turning into neuritis, the following symptoms may be added to the listed symptoms:

• debilitating pain in the eyebrow area;
• narrowing of the field of view;
• a blind spot in the center of the "picture" that a person sees.

Outwardly, the rash resembles herpes simplex and herpes zoster. Fluid-filled blisters can be located on the upper eyelid or on the inside of the eyelid, but they are more painful than those that appear on the lips, for example. We talked about methods for the rapid treatment of herpes on the lips in the article.

There are clinical forms of ophthalmic herpes. Among them:

• eyelid dermatitis;
• keratitis (the cornea becomes inflamed and cloudy, the patient cannot open his eyes);
• stromal keratitis (vascular damage, displacement of the eyeball);
• trophic keratitis (the cornea loses sensitivity);
• herpetic ulcer of the cornea;
• blepharoconjunctivitis (rash on the inside of the eyelids, along the edge and in the corner of the eye);
• herpetic uveitis (the vitreous body of the eye becomes cloudy);
• retinal necrosis (dangerous loss of vision).

There is also species classification of ocular herpes. Among the most common types:

Diagnostic methods

For an accurate diagnosis and selection of the appropriate treatment for the disease, visual examination, various tests (visometry - for visual acuity, perimetry - for the width of the field of view), laboratory methods, as well as psychosomatics - a technique for studying the impact of psychological factors on the patient's condition are used.

The main role is still assigned to laboratory methods with the help of special equipment.

Slit lamp test

An examination using this device helps to establish the nature of the corneal lesion and detect symptoms that are typical for a herpes infection.

Immunofluorescent analysis (IF)

Experts consider this type of diagnostics to be the most accurate.. Under a microscope, material taken from an infected area is studied.

After exposure to ultraviolet radiation, the sample gives (or does not give, then the diagnosis is not confirmed) a special glow.

Linked immunosorbent assay

The method is used in the most difficult cases when other studies and analyzes give conflicting results.

The method is based on the fact that in case of ophthalmic herpes, samples taken from infected areas should contain immunoglobulins M.

Depending on the form and severity of the disease, the doctor selects etiotropic and symptomatic therapy: the first is aimed at combating the causative agent of the disease, the second helps to get rid of unpleasant symptoms when the eyelids swell, become inflamed, and itch.

Preparations

A large group of antiviral drugs used to treat ophthalmic herpes include:

• Acyclovir (tablets and ointment);
• Valaciclovir (tablets);
• Famvir (tablets);
• Oftan-IDU and TFT (eye drops);
• Vidarabine (gel).

The patient is prescribed immunomodulators made from donated blood and modifying cell membranes in such a way as to protect them from the penetration of the virus: Interlock, Reaferon, Cycloferon.

These drugs are used for injections, as well as in the form of tablets and eye drops.

Used to relieve symptoms of the disease Atropine, Irifrin- they relieve spasms that often accompany eye infections.

With allergic reactions, Opatanol drops help. From burning and itching, you can smear the places of inflammation with tetracycline or erythromycin ointments.

If wound healing takes a long time and causes pain, the doctor prescribes physiotherapy (UVI, UHF).

Let's start with the taboo: on some forums on the Internet, garlic is recommended as a cure for eye herpes, but in no case should they treat sores on the eye or even under the eye.

The reaction of the body to such a radical agent can be unpredictably severe.

But what traditional medicine is approved by professional doctors:

Any folk remedy is only a help, and not the main medicine, but they must be used to alleviate the patient's condition.

Vaccine use

Vaccines are used in cases where the patient suffers from relapses of the disease. The most commonly used domestic drugs Gerpovax and Vitagerpevac, as well as the Belgian Gerpevac.

Vaccination is carried out when the patient has an exacerbation period. It is allowed to repeat it no earlier than after 6 months.

A vaccine-like effect is exerted on the body by antiherpetic interferon (it is produced in the form of an ointment). It blocks the activity of the virus, does not let it through to healthy cells of the body.

Many are interested in whether pets (for example, kittens) can have herpes and how to protect their health. It turns out that the problem of herpes also applies to our smaller brothers, and the infection chooses the smallest, weakest animals.

Fortunately, vaccination is also provided for them - in the clinic it will be carried out by a veterinarian for pets from 3 months to 3 years.

The causes of the development of the disease are almost the same in children and adults, but the symptoms are somewhat different, which means that the treatment is different.

In addition to the classic symptoms of ophthalmic herpes, the child has a cold on the lips.

This, on the one hand, allows you to quickly make an accurate diagnosis, and on the other hand, complicates the treatment. Therefore, trying to cope with the disease without medical support is strictly prohibited.

But you can provide first aid to the baby before going to the doctor: drip drops of "Ophthalmoferon" into the diseased eye.

By the way, often eye herpes occurs in children who are being treated for chickenpox. Parents need to keep this in mind and monitor the condition of the eyes of their baby.

The most dangerous complications occur in cases where herpes is localized not near the eye, but directly in its tissues. This may cause:

Such a development of events can be expected if the patient did not attach due importance to the disease, tried to self-medicate at home, and the method he chose turned out to be insufficiently developed for this disease and is not supported by official medicine (for example, homeopathy).

Prevention

Any type of virus (herpes zoster, ophthalmic) is dangerous for relapses, so the doctor prescribes to patients who have been ill antivirals as a prophylaxis.

They help to avoid frequent repeated outbreaks, but they cannot completely defeat the disease.

• keep close contact with the sick to a minimum, since the virus is contagious;
• use only your own hygiene items;
• do not overheat in the sun and do not overcool the body in winter;
• eat right, do not forget about vitamins;
• strengthen health (hardening, physiotherapy exercises will help).

Any manifestation of a herpes infection should be treated extremely responsibly. The disease itself is not so terrible as the complications after it. The virus can infect absolutely any place on the human body. Herpes on the eyes is one of the most dangerous pathologies. What is the danger of the disease, causes, symptoms and treatment - questions that do not lose their relevance.

Features of the disease

Almost every person on earth is infected with the herpes virus (90%), but the disease manifests itself in only 17%.

Herpes is a viral disease that is characterized by the formation of blisters at the site of the lesion. Localized on the skin and mucous membranes.

At the first infection, it penetrates into the nerve cells and is introduced into their genetic apparatus. For this reason, it is not possible to eliminate the virus from the body. In response to penetration, the immune system forms specific antibodies that can prevent the spread of viral particles through the blood. It is thanks to this organism that it is possible to control the virus for a long time (to prevent its activity).

The virus can infect absolutely the whole person, and the eyes are no exception. Ophthalmic herpes is able to affect the area around the eyes, mucous membranes, eyelids.

Infection with herpesvirus of different types is capable of provoking pathology:

• 1.2 - Herpes simplex;
• 3 - Varicella Zoster;
• 5 - Cytomegalovirus.

The tear fluid itself is able to protect the eyes from the penetration and spread of any infection. This happens due to the fact that it contains immunoglobulins that produce interferons. However, with a decrease in general and local immunity, the lacrimal fluid does not cope with its tasks, and a disease occurs.

Factors affecting the development of the pathological process in the eyes:

• eye injuries;
• stressful situations;
• uncontrolled intake of certain groups of drugs (antibiotics, cytostatics, immunosuppressants);
• immunodeficiency states;
• malnutrition.

A woman during the period of gestation has a high risk of infection with ophthalmic herpes, since the protective functions of the body decrease, a serious hormonal restructuring occurs, and an unstable emotional state is observed.

The herpes virus is distinguished by its high degree of infection. It can be transmitted from sick people to healthy people by all possible routes of transmission - household (sharing household items), airborne droplets (when talking, coughing, sneezing, kissing), transplacental (from mother to child), sexual (from an infected partner), inoculation ( from the main focus of infection, the person himself transfers to the eyes, for example, from the oral cavity).

Experts divide the methods of infection into two large groups - endogenous (the herpes virus, while in the body, is activated, affects the most vulnerable places), exogenous (the infection enters the eyes from the outside).

The second group is more typical for children, due to their activity, visiting groups, and the system of personal hygiene has not yet been established. According to statistics, in 80% of cases, children become infected with herpes on the eye by exogenous means.

Symptoms

From the moment of infection to the manifestation of the clinic, an average of a week passes.

The first symptoms of herpes in the eyes are similar to manifestations of allergies or bacterial damage (conjunctivitis, blepharitis) - swelling, the eye and eyelid become red, itching and pain, reaction to light, tearing, clouding. It is also possible the appearance of a general clinic - cephalgia, nausea, inflammation of the facial lymph nodes, fever.

Distinctive clinic of ophthalmic herpes:

• the appearance of sparks;
• intolerable itching;
• bifurcation, distortion of what is seen;
• uncontrolled closing of the eyelids;
• bubble formation.

Shingles of the ophthalmic type occurs when inflammation spreads to the first branch of the trigeminal nerve, affecting one side of the face. At the initial stage, the patient complains of malaise, redness, itching in the eye area. Then, in the place of redness, papules are formed, filled with liquid. The bubbles burst, the wounds become covered with crusts, which, when combed, often leave behind scars.

The location of herpes is predominantly fixed on the upper eyelid, in the area of ​​\u200b\u200bthe eyebrow. The defeat of the second branch of the trigeminal nerve is accompanied by the appearance of a rash on the lower eyelid, under the eye. If the nasociliary nerve (nervus nasociliaris) becomes inflamed - at the inner corner of the eye and on the cornea.

Forms of pathology

Depending on which tissues of the visual organs are affected, the disease proceeds in different forms.

• With herpetic conjunctivitis, a lesion of the conjunctiva is fixed (a thin film of the epithelium that covers the eyeball, the inside of the eyelids). The disease begins to develop in one eye, translucent discharge appears, vision becomes cloudy. There is a feeling of the presence of a foreign body, pain, burning, constant itching. The eye turns red, the vessels become clearly visible.
• Blepharoconjunctivitis. A rash appears in the area of ​​\u200b\u200bthe ciliary bulbs and on the conjunctiva. It is characterized by severe swelling of the eyelids, redness of the conjunctiva, and strong tearing. Thick, purulent discharges come out of the eyes, which completely glue the eyelids during the night. Possible tufting of eyelashes.
• Herpetic dermatitis of the eyelids is accompanied by redness, with further formation of vesicles. After leakage of the liquid, erosion becomes covered with a crust. The body temperature rises, there is a headache, itching, burning at the site of the lesion. It is localized on the upper eyelid of the eye.
• Keratitis is a disease in which the cornea of ​​the eye is affected. Accompanied by blepharospasm, photophobia, decreased sensitivity of the cornea. Bursting bubbles along the nerve endings cause severe pain.
• Keratoiridocyclitis affects the vessels of the eyes, is characterized by acute pain, frequent relapses reduce visual acuity. This form is less readily amenable to therapy.
• Herpetic corneal ulcer - the resulting erosion is not accompanied by pain, can distort vision, is characterized by a long course.
• Acute retinal necrosis most often proceeds painlessly, is characterized by a decrease in vision, up to blindness.
• Postherpetic trophic keratitis is accompanied by thickening of the cornea of ​​the eye, loss of its sensitivity. A protracted course is fixed, during which the bubbles either appear or disappear, while vision gradually decreases.
• Herpetic uevitis occurs with clouding of the vitreous body, the formation of bubbles in the center.

Read also related

The danger of the herpes virus during pregnancy

In a child, the manifestation of the herpes virus in front of the eyes is accompanied by severe swelling of the conjunctiva, the rash is localized along the edge of the eye. Often there is a parallel rash of the lips.

Diagnostics

Given the presence of numerous forms of ophthalmic herpes, a specific diagnosis can only be made by a competent doctor.

First of all, the specialist will visually inspect the affected areas. Next, he will conduct various tests for visual acuity, determining the boundaries of the visual field, corneal sensitivity and other parameters.

To clarify the diagnosis, an examination with a slit lamp is used, which is able to detect changes in the cornea, inflammation in the eye vessels, and foci of clouding. During this procedure, a scraping is taken from the affected skin or mucous membrane of the eye to detect virus cells using a fluorescent microscope (RIF immunofluorescence analysis).

Important! For the correct diagnosis of the disease, it is highly desirable to take the material as soon as symptoms appear.

In most cases, symptoms appear that are not specific to herpes, so laboratory tests are indispensable. In addition to the RIF method, the polymerase chain reaction (PCR) method is used, which will determine the DNA of the virus.

A general clinical blood test is carried out - it shows the level of leukocytes and lymphocytes (usually it is increased, but with immunodeficiency it is lowered).

In order to detect the presence of antibodies to the virus, a scraping from the conjunctiva is examined, and in especially severe cases or questionable laboratory results, an enzyme-linked immunosorbent assay (ELISA) is performed. With herpes of the eyes, antibodies M.

Possible Complications

It is possible to fully recover without negative consequences only with a timely visit to a doctor (oculist). Only a qualified specialist knows exactly how and how to treat eye herpes. It is very important not to self-medicate, because vision is at stake.

The result of untimely, inadequate therapy can be:

• clouding of the cornea;
• loss of vision;
• feeling of dryness, foreign body in the eye;
• cyclic eye pain.

With frequent relapses, herpes affects deeper and deeper structures of the eye, which can lead to the development of complex pathologies - cataracts, retinal detachment and death, glaucoma, blindness, loss of the affected organ of vision.

Therapeutic activities

Patients who have been affected by the problem are concerned about the question of how to treat herpes on the eye.

It is not possible to cure the disease for life, because viruses become an integral part of nerve cells. Treatment is able to stop the reproduction of the virus as quickly as possible, relieve inflammation, minimize the risk of complications, and prolong the period of remission.

The therapeutic regimen directly depends on the form of the disease, the severity of the course. If only the surface layers of tissues are affected, then for a successful outcome of the disease, drugs that suppress the activity of the virus are sufficient.

The problem of damage to the deep structures of the visual organs, in the absence of an adequate response to drug therapy, is solved in an operable way (coagulation, keratoplasty, neurotomy, cryotherapy, vitrectomy). During operations, the complete elimination or restriction of the lesion is performed.

Groups of drugs used to treat eye herpes:

• antiviral;
• nonspecific and specific immunotherapy;
• symptomatic and concomitant.

The duration of the course is approximately one month.

Antiviral drugs are used systemically (tablets, capsules, injections) and topically (drops, ointments, creams).

Systemic drugs Valaciclovir and Famciclovir are taken 500 mg three times a day for 7-10 days.

Acyclovir, Zovirax are effective if herpes on the eyelid of the eye is in the initial stage, they are also used for preventive purposes.

As a local therapy, Acyclovir 3% eye ointment is used - it must be applied to the eyelids at least 4 times a day. In recurrent cases, it is ineffective.

Cream Fenistil Pencivir is more effective. It is used only if herpes is under the eye, around the eyes, on the outside of the eyelid. It is forbidden to apply on mucous membranes.

Herpes on the eye is a viral disease that occurs in ninety-five percent of the population. The herpes virus is easily transmitted by airborne droplets, through contact and sexual intercourse.

The disease is both congenital and acquired. But in any situation, it can take a chronic form, which is no longer subject to final cure.

Herpes for a long time may not declare itself and not show any symptoms. But there are many factors that can trigger this process. These include the following.

• Hypothermia.
• The use of prostaglandins and cytostatics.
• The period of bearing a baby.
• Weakened immune function.
• Long stay in the sun.
• Injury to the visual organ.
• stressful situations.
• Violation in the digestive system.
• Unbalanced nutrition.
• Long term antibiotics.

Symptoms of the appearance of herpes under the eye

Shingles type of herpes occurs against the background of inflammatory processes of the first branch of the trigeminal nerve. This leads to the manifestation of pain and an increase in body temperature. If there is no treatment, then other symptoms are added in the following form.

• Puffiness on the eyelid.
• Photophobia and increased tearing.
• Redness of the eyeball.
• Sensation of a foreign body in the eye.

A day after this, bubbles appear on the skin, which gradually become cloudy and covered with a red crust. After recovery, scars often remain.

Rashes are formed on the area of ​​​​the upper eyelid and in the eyebrows. Herpes under the eye manifests itself when the second branch of the trigeminal nerve is damaged, which occurs in rare situations. The main symptom is usually attributed to an increase in lymph nodes and pain when touched.

Most of the symptoms are similar to an allergic reaction or a bacterial eye infection. If neuritis has a herpetic form, then there is a pain in the orbit, the visual field narrows, a blind spot appears and pain is felt when turning the head. In some situations, nausea and vomiting may occur.

If symptoms are ignored, complications may appear in the form of double vision, the appearance of sparks and lightning before the eyes, blurred and distorted nearby objects.

Types of herpes under the eye

Herpes above the eye is usually divided into three main forms.

1. Follicular type. The process is slow. The main symptom is only redness of the eyelids.
2. catarrhal type. It is characterized by an acute course of the disease, where the symptoms are pronounced.
3. Vesicular-ulcerative type. In this situation, rashes appear in the form of bubbles, which later heal without scarring.

Herpes above the eye can cause unpleasant consequences.

1. Keratitis. The main symptoms include blepharospasm, severe pain, photophobia and increased tearing. Eruptions appear on the cornea. If they burst, they will cause discomfort and pain. Treatment lasts long enough that it can lead to clouding of the cornea.
2. Iridocyclitis. This disease leads to swelling of the iris and plethora, resulting in increased intraocular pressure and pain.
3. Acute necrosis of the retina. This disease occurs in people who are immunocompromised. It is characterized by symptoms such as loss of visual function for several months due to retinal detachment.

Diagnosis of herpes under the eye

First of all, the patient needs to seek help from a doctor. Based on the examination and complaints of the patient, he will prescribe an examination. It includes the following items.

• Visiometry. This method will reveal a decrease in visual function, especially if there is optic neuritis or corneal infiltrate.
• Analgisemetry. Helps to detect reduced susceptibility of the cornea, which causes the herpes virus.
• Biomicroscopy.
• Ophthalmoscopy.

Symptoms of the disease are not specific. Therefore, it is possible to detect herpes under the eye only through a laboratory examination. Using the method of fluorescent antibodies, the presence of antibodies to the herpes virus is determined. Take it in the form of a scraping from the conjunctiva of the eye. They also conduct a study of the patient's immune function and virology.

Treatment of herpes under the eye

Herpes under the eye is treated by treating the affected surface and strengthening the immune function. To do this, it is necessary to lubricate the eyelids with an ointment, the active substance of which is acyclovir. If there are rashes on the eyebrow area, then you need to use a product with a five percent content of the active substance. It is worth smearing at least four times a day for two weeks.

It is also recommended to take Acyclovir tablets five times a day. The course of admission is approximately ten days. After that, you need to drink immunostimulators. When herpes under the eye has just appeared, it is worth observing hygiene measures. To exclude the prevalence of the disease on the mucous membrane, you can not wet the eyes.

To avoid infection of healthy areas of the visual organ, you can apply an antiviral ointment as needed. To relieve pain, novocaine blockade is performed. To act directly on the virus, it is necessary to instill Ophthalmoferon eye drops. Also, to cure herpes above the eye, it is worth taking B vitamins.

The appearance of herpes above the eye in children

Herpes above the eye is found not only in the adult population, but also in children. Often in a child, the disease manifests itself due to infection of the visual organs and oral mucosa from unwashed hands. Also, herpes under the eye can occur due to wiping with a regular towel, which was previously used by a patient infected with the virus.

According to statistics, in fifty percent of cases, children under three years of age are infected. Herpes above the eye occurs due to infection of the first type, which is referred to as a cold on the lips. First, the infection spreads to the mucous membrane of the lips and in the mouth. When a child touches the infection sites with his hands, he brings the virus to the conjunctiva and the cornea of ​​​​the visual organ.

Types of childhood herpes

Depending on the location of the lesion and its depth, herpes under the eye can be divided into several types.

1. Herpes keratitis. Indicates damage to the cornea of ​​the eye.
2. Stromal keratitis. There is a defeat of the deep layers of the cornea, resulting in scarring.
3. Herpes retinitis. The virus enters the eye tissues and infects the retina.
4. Iridocyclitis. The iris of the eye is affected.

Treatment of herpes in children

To cure herpes under the eye, you should seek the help of a doctor. If this is not done on time, then the child may lose a full-fledged visual function. Before coming to the doctor, you can take preventive measures in the form of instillation of Ophthalmoferon drops. Such a local remedy will help to avoid the penetration of the virus into the deep tissues of the visual organ. As a treatment, antiviral drugs are prescribed in the form of tablets and ointments, the use of non-specific immunoglobulins and vaccination. Also, additional treatment consists in taking antihistamines and antiseptic therapy. If herpes above the eye is severe, then surgery is prescribed in the form of coagulation or keratoplasty. Herpes under the eye of a child is treated for a long time up to four weeks.

Preventive measures to prevent the appearance of herpes under the eye

In order to avoid herpes above the eye, several preventive recommendations should be followed.

1. If there was already a herpes under the eye, then it is worth remembering that it can worsen. Therefore, it is necessary to strengthen the immune function. This is especially true for small children. You should also avoid the occurrence of colds and hypothermia, because herpes above the eye is their complication.
2. Each family member should have individual things: a towel, dishes, a brush.
3. The rule for the female half of the population - you can not use other people's cosmetics.
4. So that herpes under the eye does not appear in the unborn baby, a pregnant woman needs to be treated with Miramistin before giving birth.
5. If herpes under the eye appears regularly, then it is worth vaccinating.

The causative agent of the disease is located on the optic nerve and, with a decrease in immunity, moves along the mucous membrane to the skin of the face. So let's try to figure it out...

By Masterweb

Herpes is one of the most unpleasant diseases affecting the skin. Because of it, rashes appear not only on the lips, genitals, but also on the eyes. The causative agent of the disease is located on the optic nerve and, with a decrease in immunity, moves along the mucous membrane to the skin of the face. So, let's try to figure out what herpes looks like before our eyes and how to deal with it.

Varieties of the disease

The eye has a complex structure, so the disease can affect completely different areas of it. Depending on the location of the lesion, ophthalmic herpes is divided into several types. The disease can affect the conjunctiva, eyelids, cornea (including its deep layers), vessels or inner membranes of the eye.

Herpes of the conjunctiva has three forms:

• Catarrhal (flows sluggishly and for a long time).
• Follicular (develops rapidly, but also passes quickly).
• Vesiculo-ulcerative (vesicles appear, turning into an ulcer).

Herpes on the eyelid of the eye is manifested by bubbles with transparent contents. Symptoms include chills, headache and fever. The contents of the bubbles quickly become cloudy and they burst. A crust forms in this area, which disappears after 1-2 weeks.

Infection of the cornea leads to a decrease in its sensitivity and often reappears. The skin is covered with blisters that coalesce to form ulcers. They look like tree branches. The defeat of the iris leads to iritis or iridocyclitis.

Below is a photo of herpes on the eye with damage to the deeper layers of the cornea. In this case, serious symptoms and consequences appear. The sensitivity of the cornea decreases, it becomes cloudy, gray or whitish deposits are deposited on the back surface. As a result, intraocular pressure rises.

Damage to the vessels leads to the appearance of ulcers, deposits and blisters in different layers of the cornea, as well as on the mucous membranes. Often, vessels appear on the deep and superficial layers. It also increases the pressure inside the eyes.

If the disease affects the deep membranes of the eye, then coarse fibers form in the vitreous body. This leads to blurred vision, cataracts or glaucoma. Such serious consequences are associated with the fact that the optic nerve is involved in the inflammatory process.

Diagnostics

At the first suspicion of eye herpes, you should immediately contact a specialist. Diagnosis is possible only after:

• visual inspection (the presence of bubbles is detected);
• visometry (diagnostics of visual acuity);
• perimetry (study of the edges of the visual fields);
• algesimetry (checking the sensitivity of the cornea);
• biomicroscopy (determining the severity of corneal lesions);
• ophthalmoscopy (detection of infection in the fundus).

The diagnosis can only be confirmed with the help of laboratory tests. The doctor will prescribe a general blood test, taking scrapings from the conjunctiva and cornea. You will also need to check the blood for the presence of antibodies to the virus.

Causes

The following pathogens are responsible for the development of the disease: herpes simplex and chickenpox viruses, genital and cytomegalovirus. The tear fluid of a healthy person usually contains A-class immunoglobulins, which protect against the spread of infection. And the carriers of the virus in the blood have special T-cells that purposefully affect herpes on the eyelids and other areas.

The causes of the disease can be:

• direct contact with a sick person or through household items (especially for primary infections);
• unprotected sex;
• low level of hygiene and frequent stay in a team (typical for children);
• decreased immunity;
• overheating or hypothermia;
• pregnancy.

A newborn can catch the virus as a result of infection from the mother (when passing through the birth canal).

Symptoms

At the initial stages of the disease usually appear: itching, burning, swelling and redness of the eyelids, blisters (both single and multiple). The penetration of the virus into the deeper layers of the eye leads to more serious manifestations.

You can also meet the following symptoms of herpes in the eyes:

• severe lacrimation;
• pain (very often in the corners of the eyes);
• photophobia;
• blurred vision (the appearance of a "veil");
• swollen lymph nodes;
• vesicles with clear or white contents;
• erosion, crusts in the affected area;
• elevated temperature;
• lethargy and malaise;
• inflammation of the cornea;
• feeling of sand in the eye;
• rashes in the forehead and nose.

What is dangerous disease

If left untreated, herpes on the eye will lead to serious consequences. As a result, the cornea may become cloudy (partially or completely), vision may deteriorate, and the retina may detach. With a severely neglected disease, glaucoma, inflammation of the veins, neuritis or atrophy of the optic nerve, cataracts appear. As for the appearance, after the vesicles and ulcers, ugly scars remain, which are difficult to get rid of.

Significant problems and complications develop due to the constantly recurring disease. However, patients may mistake it for allergic manifestations. For any suspicious rash, you should consult a doctor, otherwise you can lose your sight.

During pregnancy

Pregnancy is not a simple state of the female body. When it occurs, immunity decreases, as a result of which herpes on the eye may appear (photo can be seen in the article). If he was observed by the expectant mother before conception, then she should inform her doctor about this. He will tell you what preventive measures will save the baby from the virus.

There is no cure for herpes, so the treatment is to boost immunity and heal wounds. The situation with pregnant women is aggravated by the fact that in their condition the doctor cannot prescribe any drug. But such funds exist, for example, Panavir. It is suitable for indoor and outdoor use.

An excellent ointment is Acyclovir, but pregnant women should use it with caution. Also, oxolinic, alpizarin, tetracycline or erythromycin ointment will help in the treatment of herpes on the eye. Sometimes the doctor prescribes to lubricate the vesicles and ulcers with interferon, vitamin E, fir oil or chamomile cream. It is also important to support your immune system with proper and healthy nutrition.

Herpes in the eyes of children

A baby up to a certain age has a special immune protection that the mother passes on to him. He should not become infected with the virus, but this is possible if the child has any pathologies. Also, herpes can be transmitted to him during childbirth, when the mother has "fresh" rashes on the genitals.

The first symptoms in a newborn appear at least a week after birth. Usually, his temperature rises sharply and bubbles form. If deeper layers of the eyes are involved in the process, then loss of vision, hormonal disorders, pneumonia, and hepatitis are possible. To avoid this, a pregnant woman needs to correct her health in advance.

If the child has herpes on the eye (the photo can be seen above), then he is prescribed:

• drying agents (brilliant green, iodine or zinc paste on the eyelid, without affecting the mucous membrane);
• washing with antiseptics ("Furacilin", calendula);
• antiviral drugs;
• herbal immunostimulants;
• vitamin and mineral complexes.

The effectiveness of external agents depends on how much time has passed since the appearance of the first rashes. The sooner the treatment was started, the sooner the baby will recover, and the less complications he will have.

Treatment with local drugs

Treatment of the disease involves the use of antiviral drugs. But they are prescribed as an additional therapy. Especially popular is the ointment for herpes (on the eyes and other parts of the body) - "Acyclovir". With the correct dosage and frequency of administration, it treats rashes well. The ointment is applied every 4 hours for a week. Its effectiveness increases against the background of taking immunomodulators.

Doctors can also prescribe Fenistil Pencivir cream. It should be applied up to 8 times a day every two hours. The duration of treatment is a maximum of 4 days. The drug should not be used by children under 12 years of age, pregnant and lactating women. When applied to the affected areas (eyelids), contact with mucous membranes should be avoided.

Another good eye remedy for herpes is Ophthalmoferon drops. The main active ingredient is interferon, which fights the virus and improves immunity. The agent is instilled into the eyes 1-2 drops three times a day. The course of treatment is 2 weeks.

The disease is treated not only with ointments and drops, but also with pills. Among their diversity, it is worth highlighting Zovirax, Famvir and Acyclovir. The composition of "Zovirax" contains 200 mg of acyclovir, so it acts in the same way as the drug of the same name. "Famvir" is an antiviral drug that, after ingestion, turns into penciclovir and actively affects the virus. "Acyclovir" has the same properties as the ointment of the same name. You should know that all these pills have a large number of side effects and contraindications. That is why the dosage and duration of treatment is determined only by the doctor.

Herpes on the eyes is also treated with medications such as:

1. Vidarabine (an ointment that stops the reproduction of the virus);
2. "Valacyclovir" (the drug copes with different types of herpes);
3. "Trifluorothymidine" (eye drops that stop the spread of the disease);
4. "Oftan Idu" (inhibits the enzymatic activity of the virus).

With deep damage to the cornea and various complications of ophthalmic herpes, antiseptic and antibacterial drugs are used. A special vaccine can save you from constant relapses of the disease. It is sold in powder form with strains of virus antigens. The vaccine is given 5 times every 7 days and only if there are no rashes.

Treatment with immunomodulators

Immunomodulators are drugs that help boost immunity. However, in the treatment of herpes in the eyes, they act as an additional therapy along with antiviral agents. Immunomodulators are made on the basis of interferons. Thanks to them, protective cells are activated that inhibit the development of the virus.

Interferons include drugs such as Genferon, Viferon, Gerpferon, Lokferon, Reaferon and others. For the treatment of herpes, ointments, gels and suppositories are best suited (they have fewer side effects). In severe forms of the disease, intramuscular or intravenous administration is possible.

Interferon inducers will also help in the treatment. They contribute to the fact that the body itself produces interferons. These drugs are safer, last longer, and cost less. Among them, Arbidol, Amiksin, Neovir, Cycloferon and others should be singled out.

So, there was herpes on the eye. What to do? You need to start treatment with local drugs:

1. Candles "Genferon" contain interferon, benzocaine and taurine. They well increase immunity, anesthetize and regenerate.
2. Ointment "Gerpferon" consists of acyclovir, interferon and lidocaine. This combination helps the body cope with the virus, improves immunity and anesthetizes.
3. Candles "Viferon" (the main active ingredient is interferon alfa). They help to cope not only with herpes, but also with colds. The tool is absolutely safe, so it is suitable even for newborns.
4. "Ingaron" contains gamma interferon and is a powder for injection. Freshly prepared solution is administered either subcutaneously or intramuscularly. To prepare it, you need 2 ml of water for injection (other solvents will not work).
5. "Neovir" - injections from herpes, which dissolve with the help of novocaine and lidocaine. They are prescribed intramuscularly for one injection every other day. In the acute form of the disease, the drug is administered daily for three days, and then another 3 injections after 2 days.
6. Amiksin tablets cope well with the virus and increase immunity. The active ingredient is tilorone, which, when ingested, stimulates cells to produce interferon. The drug should not be used: children under seven years of age, pregnant, lactating women.
7. "Cycloferon" well improves immunity, helps fight viruses and has an anti-inflammatory effect. It is available in the form of tablets, ointments and injections.

Folk remedies

Traditional medicine will help in the treatment of herpes on the eye at home. But her prescriptions can only be used as an additional therapy.

A good effect can be achieved by doing the following means:

1. Lotions with lungwort. Pour boiling water (500 ml) dry grass (2 tsp). We wash the damaged areas with warm infusion several times a day.
2. Arnica infusion. Pour boiling water over arnica flowers (15 g) for a couple of hours, then rinse the eyes with the product.
3. Fir, camphor oil. Lubricate external rashes several times a day until they completely disappear (begins to heal after 2 days).
4. Althea decoction. Pour the leaves or flowers of marshmallow (2 tsp) with a glass of boiling water, let stand for half an hour and wipe the skin.
5. A decoction of birch buds. Pour birch buds (25 g) with a glass of boiling water and leave for half an hour. The tool heals wounds well and copes with various skin rashes.
6. Lotions with plantain and Kalanchoe. We take the juice of plants and dilute it with water (1:10). Wet a cotton pad with the solution and apply it to the sore eye for 10 minutes. You can make 2-3 lotions per day.
7. Rubbing with ice helps well in the early stages of the disease. Take an ice cube and apply it to the bubbles. Do not keep it on the affected area for a long time, otherwise hypothermia will come.

Prevention

To prevent herpes from reappearing before our eyes, it is necessary to carry out some preventive measures. You can protect yourself from it if you try to avoid direct contact with the carrier of the infection. A sick family member should have their own dishes, towels and bedding. If contact does occur, wash hands thoroughly.

You can protect your body from any colds and viruses by proper nutrition, adequate sleep, hardening, physiotherapy exercises. In the autumn-spring period, vitamin complexes are required. As a prophylaxis (or treatment), various herbal preparations are used. Their use will well strengthen and heal the whole body. From eye damage with herpes, drugs that increase immunity (or stimulate its production) will help. It is important to remember that you can take any medication only under the supervision of a specialist.

Unfortunately, there is no cure for the virus. It remains only to maintain your body in a healthy state. The risk of disease is reduced if hypothermia, colds and stress are avoided. If it didn’t work out, then you need to quickly seek help from a doctor. He will prescribe antiviral and immunomodulatory drugs according to an individual scheme.

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One of the most unpleasant diseases of the mucous membranes is herpes. And herpes is one of the most dangerous manifestations of this disease. Ophthalmic herpes, if left untreated, can lead to unpleasant consequences, which is why it is important to contact a specialist in time for treatment recommendations.

Causes and symptoms of eye herpes

Herpes is a viral disease and most often it is transmitted by airborne droplets. They can also be infected by household means through dishes and personal items. More likely to get infected in a person with reduced immunity.

Most often, herpes affects children who are in large groups - schools and kindergartens. A high probability of infection in a newborn child through an infected mother's genital tract.

Causes of herpes in the eye can be:

The herpes virus can be present in every person in the body, but it is more likely to occur in a person with reduced immunity. Eye herpes is provoked by the virus types 1 and 2, as well as chicken pox.

Herpes of the eye on the eyelid rarely occurs as a primary disease, most often it is provoked by various factors, which causes herpes of various forms.

Depending on the cause and form of the disease, the symptoms of herpes in the eyes are expressed differently. If the primary disease is conjunctivitis, then herpes may not be accompanied by blisters, but only redness, itching and increased tearing of the eyes. The virus can cover the trigeminal nerve.

Damage to the optic nerve is characterized by:

1. Severe pain in the eye sockets.
2. The occurrence of pain when moving the eyes and eyelids.
3. Dizziness, headache.
4. Blurred vision.
5. The appearance of a blind spot in the field of view.

If herpes under the eye occurs against the background of herpes zoster, the following symptoms occur:

1. Pain in the affected area.
2. The appearance of bubbles, which subsequently burst and form crusts.
3. Fever, weakness.
4. Headaches.
5. Itching and burning at the site of the eruption.

If herpes occurs in the eyes, it is necessary to prevent the attachment of a bacterial infection. You can not comb the rashes and use non-sterile napkins for compresses.

Symptoms of herpes in the eyes of viral origin:

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1. Increased tearing.
2. Intolerance to bright light.
3. Discomfort and feeling of a foreign body.
4. Redness of the eyelids.

Herpes on the cornea - keratitis - most often of an infectious or traumatic nature. Symptoms of herpes keratitis:

1. Vesicular eruptions along the trigeminal nerve.
2. Bursting bubbles are accompanied by pain.
3. Decreased sensitivity of the cornea.

With deep lesions on the cornea, erosions and ulcers occur, which can lead to iridocyclitis - inflammation of the iris. Its symptoms:

• purulent discharge from the eyes;
• change in the shape of the pupil;
• pain and pain in the eyes.

Also, keratitis can be accompanied by damage to the retina.

Symptoms:

1. A sharp decrease in vision, especially in poor lighting.
2. Nebula and doubling before the eyes.
3. The appearance of bright flashes and sparks.
4. Twitching and spasms of the eye muscles.

Lack of proper treatment can lead to complete loss of vision. The rarest complication of herpes is choreoretinitis, an inflammation in the retina that always leads to loss of vision. It most often affects people with impaired immune systems. How to treat herpes in front of the eyes depends on the form of the disease.

Medical treatment

An ophthalmologist is engaged in the treatment of herpes on the eye. Only a specialist after the examination will tell you how to treat ophthalmic herpes. Drug therapy is aimed at suppressing the virus, relieving inflammation and healing rashes.

With unopened forms and properly selected treatment, recovery occurs very quickly. With deep lesions of the cornea, retina and other parts of the eye area, surgical, plastic or laser surgery is necessary.

If a small area of ​​eye tissue is affected by the virus, the use of local preparations is sufficient. Well tolerated and quickly suppress the spread of infection antiviral ointments:

Ointments on the eyes should be applied with cleanly washed hands so as not to introduce an additional infection.

In addition to ointments, antiviral and immunomodulatory drops are prescribed:

1. Oftalmoferon, Poludan, Aktipol, Oftan Idu - antiviral drops that promote the production of interferon, relieve inflammation and reduce itching. The dosage and duration of administration is prescribed by the doctor.
2. To relieve inflammation and as a local anesthetic, drops are used: Okomistin, Okoferon, Miramistin. They are instilled 3 times a day, the minimum course is 5 days, then as directed by a doctor.
3. Indocollir, Diklof - relieve pain, instill 3-4 times a day drop by drop.

In case of serious lesions and when herpes on the eye is accompanied by a rash on other parts of the body, antiviral drugs are prescribed for internal use: Acyclovir, Herpetad, Acic.

Treatment of herpes of the eye should be combined with the use of immunostimulating agents: Cycloferon, Viferon, Polyoxidonium. And vitamin complexes with a high content of vitamins B, A, E, C.

When herpes on the eyelid is accompanied by a bacterial infection, local antibacterial drugs should be used: Tetracycline and Erythromycin ointments, Levomycetin drops Sodium sulfate, Tsiprolet, Tsipromed.

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To relieve itching and burning, antihistamines are prescribed: Loratadin, Suprastin, Cetrin, Zodak.

To avoid complications and quickly cure herpes, it is necessary to consult a doctor in a timely manner and adhere to all recommendations. It is possible that the doctor will prescribe not only medications, but also advise how to treat with folk methods.

Non-traditional methods

Treatment of eye herpes with home remedies is aimed at relieving the burning sensation and itching, and should be accompanied by therapy with pharmaceutical preparations.

For eyewash use the following means:

To rinse the eye, it is necessary to lie on your side and, with a well-moistened cotton pad, draw from the outer to the inner corner of the eye.

Do not flush both eyes with the same disc!

For flushing, you can use syringes without a needle and small syringes. For the treatment of folk remedies, it is necessary to use only sterile wipes and accessories. After each procedure, they must be thoroughly washed and disinfected.

Compresses are used to relieve inflammation and speed up the healing of sores:

To make a compress, you should take a sterile bandage, fold it four times and soak in a warm infusion. Apply 2-3 times a day for 15 minutes.

The interval between compresses and instillation of therapeutic drops into the eyes should be at least 1 hour. During the treatment of herpes on the eyelids, it is necessary to raise the immunity of the whole organism. It is necessary to drink cranberry fruit drinks, tea with honey and lemon, brew echinacea.

Prevention

In order to reduce the risk of herpes on the eyelids, personal hygiene should be observed and contact with carriers of the infection should be avoided.

Only a specialist knows how to treat herpes of the eye, so do not self-medicate!

Herpes of the eye is a rather serious disease, and only a specialist should deal with its treatment. To avoid relapses, you should adhere to medical prescription and not interrupt the course of treatment at the first improvement.

Do you still think that it is impossible to get rid of herpes forever?

Did you know that the entire population is potentially infected with herpes. Of the nine people examined, only two do not have the herpes virus!

• itching, burning, tingling sensation...
• rashes in the form of bubbles that may appear on the lips, mucous membranes of the nose and mouth, on the genitals and on the body ...
• fatigue, drowsiness...
• lack of interest in life, depression...
• headaches...

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