Joined: 17 Nov 2005 Posts: 1 Location: San Mateo California
Diagnosed With Herpes Simplex Keratitis Posted: 11-17-05 06:57am
Hi, i'm a newbie here.. :d ok, my
question is that my sister was diagnosed
with dendritic keratitis (herpes simplex
keratitis) 3 weeks ago with symptoms of
photophobia. Now, the photophobia is
better but other symptoms came up such as
pain with eye movement & headache.
She also has a localized pain on the left
occipital region that she said is
radiating towards the frontal area of the
eye. Now, the opthalmologist gave her
blephamide (prednisolone) which is a
steroid 3 weeks ago and I just found out
that this medication is contraindicated to
this specific type of viral disease. I
don't know if the doctor made a mistake or
what but we are just hoping that if the
recent symptoms are due to the steroid
use, would it be reversible if the
medication is stopped? Any input will be
very much appreciated. Thanks. :)
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timliu511
New User, Becoming EHEALTHy
Joined: 19 Nov 2005 Posts: 2 Location: Berkeley
Posted: 11-19-05 23:53pm
Your opthalmologist must have made a
mistake since blephamide is a medication
the contains both anti-biotic and
corticosteroid. If herpes simples
keratitis is really what your sister has,
it is a viral infection and should be best
treated with 1% viroptic (trifluridine -
topical antiviral). Topical
corticosteroid treatment is used depending
on how deep the kerititis has affected
your sister's cornea. Also, since she is
exterience pain around here orbit, does
she any have other symptoms such as skin
blisters? If she does, the diagnosis has
to be differentiated from herpes zoster
ophthalmicus. The dendrite kerititis seen
in herpes simplex and herpes zoster are
different, therefore make sure your doctor
had made the right diagnosis, or maybe
choose another doctor that can
differentiate between an anti-biotic and
an anti-viral medication.
