A viral disease called herpes can be both acquired and congenital, according to statistics, this chronic illness affects more than 80% of the population. As a rule, if the timely prevention of relapses and exacerbations, the disease is practically not bothering the person. But herpes on the eye can have serious consequences, since the development of the inflammatory process damages not only the mucous membranes, but also the cornea.
Herpes on the eye - symptoms
The clinical picture of a viral lesion depends on the type of ophthalmic herpes. Classification by main types:
- dermatitis of the eyelids or herpes zoster;
- herpetic conjunctivitis: follicular, catarrhal, vesicular-ulcerative;
- acute necrotic lesion of the retina;
- keratitis;
- iridocyclitis.
Herpes on the eye of the first form affects the skin of the eyelid, most often the upper one, and the area near the eyebrow. Symptoms:
- pain in the part of the face where the disease progresses;
- hyperemia of the skin, the appearance of vesicles on it with thick transparent contents. Over time, they burst, leaving crusts and erosion;
- increased body temperature;
- headache, malaise;
- burning, itching of damaged epidermis.
Conjunctivitis does not proceed as clearly as the previous type of herpetic virus. Symptoms include red eyes, increased mucus secretion, rare rashes near the eyelids.
Necrotic lesion of the retina occurs in people with severe immunodeficiency. Its signs:
- inflammatory elements in the periphery and central region;
- exudate;
- infiltration in the vitreous body;
- retinal detachment;
- formation of strands.
As a rule, this form of illness leads to blindness.
Herpes keratitis have various subtypes with a common clinical picture:
- decreased sensitivity of the cornea of the eye;
- rashes in the form of vesicles along the trunk nerve trunk;
- infiltrate;
- ulceration of the stroma of the cornea;
- painful sensations when bursting of bubbles, the expiration of their contents.
Iridocyclitis develops due to the lack of treatment for keratitis or keratoveitis. Their symptoms are:
- cutting pain;
- increased intraocular pressure;
- change or static shape of the pupil;
- smoothing of the figure of the iris, puffiness;
- adhesions near the lens;
- the appearance of sebaceous lumps on the corneal endothelium.
Herpes on the eyelid and the eye mucosa - treatment
If only the skin and internal membranes are damaged, the therapy consists in applying Acyclovir (3%) ointment about 2 weeks 2 times a day. Simultaneously, it is necessary to constantly dry the vials by means of an iodine or diamond green solution.
With a rapidly spreading infection, when herpes and under the eye are detected, treatment is supplemented by taking Valaciclovir twice a day for 50 mg. In addition, it should be instilled in the conjunctival sack of the Oftan-IMU. Intensive painful sensations are stopped with the help of novocain blockades, as well as physiotherapeutic methods of influence (UFO, UHF).
Herpes on the eye - treatment for conjunctivitis, damage to the cornea, retina
Complex forms of the disease involving the trigeminal process
- Antiviral topical preparations (Acyclovir 3%).
- Antihistamines - Opanatol, cromoglycate sodium.
- Antiseptics - Okomistin, Miramistin.
- Antibacterial drugs - Oftakviks, Floksal , Tobrex .
- Anti-inflammatory drops for the eyes from herpes - Naklof, Indocollir, Diclof.
The entire course of treatment takes at least 3 weeks and should be carried out under the constant supervision of an ophthalmologist.