How to treat herpes in the eyes

It is also quite common to have herpes on the eyes. Its professional name is eyelid herpes zoster. It is also a relatively common type of shingles. Herpes zoster is a skin disease caused by the herpes virus. It is quite harmful and is often caused by poor physical constitution. In this case, as long as it is well treated, generally good results can be achieved, and it rarely relapses, and lifelong immunity can be provided.

How to treat herpes in the eyes

1. Use antiviral drugs as early as possible

For example, high concentration (35%-40%) of herpes net and dimethyl sulfoxide cotton pads for local application for 3-4 days can shorten the course of the disease and alleviate the sequelae. Apply 1% cytarabine cream topically or inject cytarabine intravenously, and give vitamin B1 and vitamin B12 at the same time. Ribavirin (ribavirin) is a broad-spectrum antiviral drug that can be applied topically with a 0.5% solution or taken orally with good results. Recently, levamisole has been taken orally.

2. Patients with concurrent keratitis or iridocyclitis

1% atropine solution can be used to dilate the pupil to prevent posterior synechiae; antibiotics, antiviral eye drops and corneal nutrition eye drops can be applied topically.

3. Hormones

Take prednisone orally and reduce the dosage after the pain subsides.

4. Analgesia

Those with severe pain can take compound aspirin, painkillers and indomethacin, which have certain therapeutic effects.

5. Improve the body's resistance

Intramuscular injection of placental globulin or immunoglobulin and interferon can prevent eye complications and shorten the course of treatment, or convalescent serum or blood can be used for injection.

diagnosis

1. Herpes lesions appear in the distribution area of ​​the first and/or second branches of the unilateral trigeminal nerve, not exceeding the midline of the face.

2. Before herpes appears, there may be symptoms such as fear of light, tearing, severe pain along the nerves, local skin redness and swelling, and general discomfort.

3. Herpes varies in size and is arranged in a band-like pattern. It is initially colorless and transparent, then becomes turbid and purulent, and scabs and falls off after about 2 weeks, leaving scars or pigmentation.

4. It is often complicated by conjunctivitis, keratitis, iridocyclitis, and occasionally ophthalmoplegia.