Question
Hi there,
I have got a corneal herpes infection in September - first time I ever had any herpes outbreak anywhere.
Was treated with aciclovir cream and when it healed , i used cortison drops.
While on vacation (sun, salt water...) a few weeks later, it came back and I started using the cream a bit late because I first thought it was only irritated.
Back home, it didn't improve for about a week and so I got prescribed aciclovir orally. Finally, before Christmas, it improved in that there were no active herpes dendritic ulcer anymore. I should still take aciclovir (400mg daily then) and use cream and also back to cortison to help with scarring.
Now I had a control appointment and was shocked to learn that two lesions were active again (fluorescent).I am luck in that it doesn't affect my vision (am at 100%), but I am scared why this is not really going away.
I am now back on a higher dose again and next check up in two weeks.
Is there anything else I can do? Could the cortison drops maybe make it reoccur? (First relaps also happened after introducing cortison). I am under some stress right now..but now I am stressing about my eye as well.
Is there a chance that this will eventually heal and that it won't always come back with such an intensity?
I am seriously scared of going blind or needing a transplant etc.
Thank you for reading
Answer
Thanks for your question
I don't recommend to use corticosteroid eye drops after herpetic dentritic epithelial ulcer is healed but of you have stromal herptic ulcer you should use both corticosteroid and acyclovair.
There are many risk factors for reactivation of herpetic corneal ulcer such as stress, trauma, ultraviolet or sunlights, wind, hormonal changes, low immunity and fever.
You should continue on oral for a long time after your corneal ulcer is healed in order to prevent the recurrence.
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