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Conditions and Diseases > Vision and Eye Disorders Forum > Diagnosed With Herpes Simplex Keratitis
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Q: Diagnosed With Herpes Simplex Keratitis
asked by: wasabi-glow on November 17th, 2005
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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
replied on November 19th, 2005
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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.
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