March 10, 2021 at 7:04 pm #73054rianachristeneParticipant
I am 27, have been getting cold sores since I was 4 years old. I spread them around as a kid – as a result, I get outbreaks on my lips, chin, nose, and occasionally my chest. I have oral breakouts monthly.
So, last Monday I went to the eye doctor after having discomfort in my eye (felt like I had something stuck in there, goopy and uncomfortable, not swollen, no vision loss). At first my doctor diagnosed an abrasion / subsequent infection after a battle with a contact and a stray hair in my eye, but after a week of antibiotic drops and steroid drops, I got a diagnosis change – A herpes infection.
Here’s the issue: I had a severe allergic reaction to valtrex when I was 16, and have not touched the pill since out of fear of the potential for an anaphylactic reaction. I can however, use the topical ointment on my sores around my mouth or wherever.
My doctor prescribed me Zirgan drops that are being overnighted from Texas. She tried to assure me that this may not necessarily be as recurrent as my regular sores, given my age and that I’ve never had it before, plus there was a perfect storm for an infection (I was sick with a respiratory infection at the time my eye got the abrasion, so my immune system was compromised) and said she has not had many patients with recurring infections.
I’m getting into contact with the Mayo Clinic to get set up for drug allergy testing, and see what my options for antivirals are. I am terrified of future infections in my eye and the possibility of losing my vision.
What are my options? How likely is it that the eye outbreaks will happen, and is it as I often as my regular outbreaks? Is there a med I can take daily to prevent all future outbreaks that isn’t valtrex?
March 18, 2021 at 12:48 pm #73092Terri WarrenKeymaster
First of all, how was herpes diagnosed in your eye? visual exam only, swab test for culture or PCR?
What was the allergic reaction that you had to Valtrex? All the herpes medications are in the same class so if your reaction was anaphylaxis, it would not be safe to take any of them. I think it’s a good idea to get allergy tested as I believe the recommendation for ocular herpes is to do suppressive therapy.
You didn’t transfer this to your eye – the virus simply traveled on the top branch of the trigeminal nerve to get to the eye, if that’s what this truly is
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