Treatments for Eye Herpes
Treatments for Eye Herpes
The list of treatments mentioned in various sources
for Eye Herpes
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
- Urgent review by ophthalmologist
- Antiviral treatment - acyclovir ointment
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Book Excerpts: Treatment of Eye Herpes
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Red Eye:
Treatment
(In a Page: Signs and Symptoms)
-
Ophthalmologic referral for HSV/herpes zoster keratitis or conjunctivitis, acute angle-closure glaucoma, scleritis, corneal ulcer, iritis, penetrating foreign bodies
-
Avoid treating patients with steroid eyedrops without ophthalmologic consultation
- Conjunctivitis
–Allergic: Avoid offending agents, cold compresses to eyes, NSAIDs, ocular decongestants, antihistamines
–Viral: Self-limited, good hygiene to avoid spread
–Bacterial: Antibiotic eye drops; avoid neomycin,
because allergic reactions are common
-
Subconjunctival hemorrhage: Reassurance, cool compresses, clears spontaneously in 1–2 weeks
-
Chemical eye injury: Immediate copious irrigation with normal saline for at least 30 minutes
-
Preventative measures include proper hygiene and daily cleaning of contact lenses, proper hand-washing techniques before all contact with eyes, eye protection in occupations entailing possible ocular injury
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Eye Discharge:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Blocked tear duct: Supportive care with massage and warm compresses; surgical probe or stent may be indicated if stenosis persists beyond 9 months of age
-
Allergic conjunctivitis: Intraocular anti-inflammatory agents, antihistamines, or mast cell stabilizers
-
Viral conjunctivitis: Supportive care for most routine viral infections; herpetic lesions should be referred to an ophthalmologist and must be treated with systemic acyclovir and intraocular steroids
-
Bacterial conjunctivitis: Usual pathogens are susceptible to polysporin/trimethoprim, may also be treated with quinolones; newborn STD pathogens must be treated systemically
-
-
-
Foreign body: Removal may require referral to an ophthalmologist
-
Corneal abrasion: Routine antibiotics and patching are no longer recommended, but may be used in more severe cases
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Scleral Injection (Red Eye):
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Intense topical antibiotics for corneal ulcers
-
Topical antibiotics for bacterial conjunctivitis (sulfa, fluoroquinolones; avoid gentamicin)
-
Consider systemic ceftriaxone if suspect Gonococcus
-
Tears, cool compresses, topical and oral antihistamines for allergic conjunctivitis
-
Frequent handwashing for viral conjunctivitis
-
Oral doxycycline and treatment of partners for chlamydia
-
NSAIDs for epi/scleritis
-
Oral doxycycline, topical Metrogel, warm compresses for rosacea, chalazia, and blepharitis
-
Massage of inner canthus, hot compresses, oral and topical antibiotics for canaliculitis and dacrocystitis
-
Check intraocular pressure if suspect angle closure glaucoma (pressure typically over 40 mmHg)
-
Frequent lubrication for dry eye
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Eye pain:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If the patient's eye pain results from a chemical burn, remove contact lenses, if present, and irrigate the eye with at least 1 L of normal saline solution over 10 minutes. Evert the lids and wipe the fornices with a cotton-tipped applicator to remove any particles or chemicals. Eye pain from acute angle-closure glaucoma is an ocular emergency requiring immediate intervention to reduce intraocular pressure (IOP). If drug treatment doesn't reduce IOP, the patient will need laser iridotomy or surgical peripheral iridectomy to save his vision.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Genital herpes:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Acyclovir has proved to be an effective treatment for genital herpes. I.V. administration may be required for patients who are hospitalized with severe genital herpes or for those who are immunocompromised and have a potentially life-threatening herpes infection. Oral acyclovir may be prescribed for the patient with a first-time infection or recurrent outbreak. Other agents include famciclovir, valacyclovir, and penciclovir; these drugs suppress symptoms but don’t cure the infection. Daily prophylaxis with acyclovir reduces the frequency of recurrences by at least 50%, but this is only appropriate for a patient with frequent outbreaks and may not decrease transmission rate of the disease.
Foscavir, a powerful antiviral agent, is the treatment of choice for herpes strains that are severe in nature or have become resistant to acyclovir and similar drugs. Administered I.V., foscavir can have several toxic effects, such as reversible impairment of kidney function or induction of sei-zures. As with other antiviral drugs, this drug doesn’t cure herpes.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Herpes simplex:
Treatment
(Professional Guide to Diseases (Eighth Edition))
No cure for herpes exists; however, recurrences tend to be milder and of shorter duration than the primary infection. Symptomatic and supportive therapy is essential. Generalized primary infection usually requires an analgesic-antipyretic to reduce fever and relieve pain. Anesthetic mouthwashes, such as viscous lidocaine, may reduce the pain of gingivostomatitis, enabling the patient to eat and preventing dehydration. (Avoid alcohol-based mouthwashes.) Drying agents, such as calamine lotion, ease the pain of labial or skin lesions. Avoid petroleum-based ointments, which promote viral spread and slow healing.
Refer patients with eye infections to an ophthalmologist. Topical corticosteroids are contraindicated in active infection, but idoxuridine, trifluridine, and vidarabine are effective.
Oral acyclovir may bring relief to patients with genital herpes. Frequent prophylactic use of acyclovir in immunosuppressed transplant patients prevents disseminated disease.Foscarnet can be used to treat HVH that’s resistant to acyclovir. Anti-viral agents similar to acyclovir are valacyclovir and famciclovir. These agents are more active than acyclovir.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Eye discharge:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Inform patients with bacterial or viral conjunctivitis that these disorders are contagious. Tell those with bacterial conjunctivitis to avoid contact with other people for 24 hours after receiving antibiotic treatment; not to share towels, pillows, or cosmetic eye products; and not to wear contact lenses until the conjunctivitis resolves. Tell patients with allergic conjunctivitis that this type of inflammation isn’t contagious.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Eye pain [Ophthalmalgia]:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the patient’s eye pain results from a chemical burn, remove contact lenses (if present) and irrigate the eye with at least 1 L of normal saline solution over 10 minutes. Evert the lids and wipe the fornices with a cotton-tipped applicator to remove any particles or chemicals. Eye pain from acute angle-closure glaucoma is an ocular emergency requiring immediate intervention to decrease intraocular pressure (IOP). If drug treatment doesn’t reduce IOP, the patient will need laser iridotomy or surgical peripheral iridectomy to save his vision.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Herpes simplex:
Treatment
(Handbook of Diseases)
Symptomatic and supportive therapy is essential. Generalized primary infection usually requires an analgesic-antipyretic to reduce fever and relieve pain. Anesthetic mouthwashes, such as viscous lidocaine, may reduce the pain of gingivostomatitis, enabling the patient to eat and preventing dehydration. Drying agents, such as calamine lotion, make labial lesions less painful.
Refer patients with eye infections to an ophthalmologist. Topical cortico-steroids are contraindicated in active infection, but idoxuridine, trifluridine, and vidarabine are effective.
A 5% acyclovir ointment may bring relief to patients with genital herpes or to immunosuppressed patients with HVH skin infections. I.V. acyclovir helps treat more severe infections. (See Treating and preventing herpes simplex.)
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Eye pain:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
To help ease eye pain, have the patient lie down in a darkened, quiet environment and close his eyes. Prepare him for diagnostic studies, including tonometry and orbital X-rays. Prepare to irrigate the eye, as ordered.
Patient teaching
Tell the patient that it’s important to seek medical help for eye pain and stress the importance of meticulous compliance with drug therapy to prevent an increase in IOP.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Eye discharge:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Inform patients that bacterial and viral conjunctivitis are contagious. Tell those with bacterial conjunctivitis to avoid contact with other people until 24 hours after receiving antibiotic treatment; not to share towels, pillows, or cosmetic eye products; and to stop wearing contact lenses until conjunctivitis resolves. Tell patients with allergic conjunctivitis that this isn’t a contagious type of inflammation.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Eye pain:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the patient’s eye pain results from a chemical burn, remove contact lenses, if present, and irrigate the eye with at least 1 L of normal saline solution over 10 minutes. Evert the lids and wipe the fornices with a cotton-tipped applicator to remove any particles or chemicals. Eye pain from acute angle-closure glaucoma is an ocular emergency requiring immediate intervention to decrease intraocular pressure (IOP). If drug treatment doesn’t reduce IOP, the patient needs laser iridotomy or surgical peripheral iridectomy to save vision.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Eye discharge:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Apply warm soaks to soften crusts on the eyelids and lashes, then gently wipe the eyes with a soft gauze pad.
▪ Carefully dispose of all used dressings, tissues, and cotton swabs to prevent the spread of infection.
Patient teaching
▪ Teach the patient to avoid contaminating the unaffected eye and to refrain from sharing pillows, wash cloths, eyedrops, or eye makeup with others.
▪ Discuss ordered diagnostic tests, including culture and sensitivity studies to identify infectious organisms.
▪ Explain the underlying cause of the patient's eye discharge and its treatment.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Eye pain [Ophthalmalgia]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ To help ease eye pain, have the patient lie down in a darkened, quiet environment and close his eyes.
▪ Prepare the patient for diagnostic studies, including tonometry and orbital X-rays.
Patient teaching
▪ Stress the importance of following instructions for drug therapy.
▪ Teach the patient about ways to protect the eyes.
▪ Tell that the patient that he should seek medical attention for any eye pain.
▪ Explain the underlying cause of the patient's eye pain and its treatment.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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