Treatment for Herpes Eye Disease

Types of treatment

Treatment for herpes eye disease depends on how severe it is and which parts of your eye are affected. Possible treatments include:

• Antiviral ointment for your eyelids

• Antiviral eye drops

• Antiviral medicine to be taken by mouth

• Antibiotic ointment for your eyelids to prevent infection by bacteria

• Antibiotic eye drops to prevent infection by bacteria

• Steroid eye drops in some cases to reduce inflammation

Most of these treatments are used for a short time. But you may need to take an oral antiviral medicine for a longer time. This is to help prevent future flare-ups. Your healthcare provider may also advise that you not use contact lenses for a while, if you wear them.

Possible complications of herpes eye disease

Herpes eye disease can cause severe complications. A flare-up can make your eye more likely to get other eye infections. This is why you may be treated with antibiotics.

In some cases, herpes eye disease permanently scars the cornea. The cornea is usually clear. Scarring makes it cloudy. This can cause vision loss. If vision loss is severe, you may need a corneal transplant to restore your eyesight.

Herpes eye disease can also cause a short-term (temporary) increase in pressure in the front part of your eye. This may need to be treated with special eye drops. In rare cases, it can cause infection of the brain and tissues around the brain. This may need to be treated in the hospital with an antiviral medicine given through an IV line.

Preventing herpes eye disease flare-ups

Your healthcare provider may prescribe a medicine to decrease your chance of having the virus become active. You can also help reduce your chance of a flare-up. Avoid getting too much sunshine and limit your stress. Think about learning, and regularly using, stress management techniques such as meditation and exercise. Go to your eye care provider at the first sign of symptoms.

These safety steps may also help:

• Don't touch your eyes or the area around them unless you have washed your hands well, especially if you have a cold sore or herpes blister.

• Wash your hands often with soap and clean, running water.

• Only use eye drops that have been prescribed or advised by your healthcare provider.

When to call the healthcare provider

Call your healthcare provider right away if you have any of these:

• Eye pain

• Blurry vision

• Fluid coming from your eye 

• New vision symptoms