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    Taking on surgery in HSV patients

    Surgeons weigh best candidates, benefits against risks of stimulating recurrence of herpes simplex virus

    Cataract and refractive surgeons should use prophylaxis to avoid reactivation of the herpes simplex virus (HSV) in patients with a history of infection with this virus, according to Elizabeth Yeu, MD.

    “We have to be mindful of the examination process and make sure they have as healthy a cornea as possible,” said Dr. Yeu, assistant professor, Eastern Virginia Medical School, and partner, Virginia Eye Consultants, Norfolk, VA.

    Dr. Yeu offered tips on treatment, topical steroid protocols, and postoperative warning signs that the virus has been activated.

    HSV is ubiquitous, she said, citing a study—AAO Basic and Clinical Science Course, External Disease and Cornea, 2010-2011—that found HSV-1, a virus that causes cold sores, present in almost all autopsies of people over the age of 60 years in the United States.

    HSV-1 generally starts with an oral-labial infection, whereas HSV-2 starts with a genital infection. The virus spreads from the site of the initial infection to neurons at other sites. The virus can lie dormant for years until a stressor reactivates it, potentially causing epithelial keratitis, Dr. Yeu said.

    HSV is the one of the most common causes of corneal infections and can cause blindness.

    The fewer episodes of HSV keratitis that the patient has experienced, and the more time has passed since these infections, the safer the surgery is likely to be, she noted.

    Other considerations include the type of recurrence, whether epithelial, stromal, or endotheliitis; the degree of inflammation; and whether the infection developed despite prophylaxis.

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    • Anonymous
      I am very happy to inform the general public that I am finally cured from Herpes simplex virus recently with the use of herbal medicine, the powerful herbal medicine cured me completely and i was tested negative after usage, I am using this means to inform other's who have the virus that there is a cure for Herpes simplex 1&2 . It is absolutely true. I was cured by Dr OSE, only him I can recognize who cure HIV perfectly well. I will advice you to contact this great doctor who God has send to put an end to the sorrowful and deadly disease. Contact him via Email:[email protected]
    • [email protected]
      NATURAL HERBS REMEDY CURE HSV TYPE 2. I am from USA i was diagnosed with Hsv type 2 while I was pregnant .I cried for days. I was devastated and looking up info on it just made it worse. I don't know how long I have had it for. I don't know if my partner has it or if he was the one who transferred it to me. I had one outbreak while pregnant. That's how I found out I had the virus. I started taking and antiviral and took it everyday twice a day to make sure I wasn't able to get an outbreak. I debated whether I wanted to have my daughter natural or c- section. I was terrified. Stress wasn't helping my situation. I ended up having her natural and she is a beautiful healthy 2 month old baby girl. I try not to think about me having the virus because of my depression i couldn't. so I have to focus more on how to get rid of Hsv type 2 because i don't want anything to happen to my daughter and thank God she was born fine. i visited different hospital but they gave me list of drugs like acyclovir, Zovirax, and (valacyclovir)Valtrex without without get rid of my virus. one day i decide to surf the internet for cure so i saw a testimony total cure of herpes by Dr. Osemu with natural herbs so i pick up the email Address: [email protected] and contact he an hour later he reply explain to me how am going to get the herbs and how am going to use it to cure my virus i give a try believe me it work perfectly i used it within seven days now am tested negative i am free from the virus thanks Doc. for so many passing through this contact Dr. Osemu to help you get rid of the virus. here is his email address: [email protected] you can also add him on whats app +2348162084504 He can as well cure so many diseases like........... 1. ALS 2. HPV 3. CANCER 4. HIV/AIDS 5. BREAST ENLARGEMENT
    • [email protected]
      NATURAL HERBS REMEDY CURE HSV TYPE 2. I am from USA i was diagnosed with Hsv type 2 while I was pregnant .I cried for days. I was devastated and looking up info on it just made it worse. I don't know how long I have had it for. I don't know if my partner has it or if he was the one who transferred it to me. I had one outbreak while pregnant. That's how I found out I had the virus. I started taking and antiviral and took it everyday twice a day to make sure I wasn't able to get an outbreak. I debated whether I wanted to have my daughter natural or c- section. I was terrified. Stress wasn't helping my situation. I ended up having her natural and she is a beautiful healthy 2 month old baby girl. I try not to think about me having the virus because of my depression i couldn't. so I have to focus more on how to get rid of Hsv type 2 because i don't want anything to happen to my daughter and thank God she was born fine. i visited different hospital but they gave me list of drugs like acyclovir, Zovirax, and (valacyclovir)Valtrex without without get rid of my virus. one day i decide to surf the internet for cure so i saw a testimony total cure of herpes by Dr. Osemu with natural herbs so i pick up the email Address: [email protected] and contact he an hour later he reply explain to me how am going to get the herbs and how am going to use it to cure my virus i give a try believe me it work perfectly i used it within seven days now am tested negative i am free from the virus thanks Doc. for so many passing through this contact Dr. Osemu to help you get rid of the virus. here is his email address: [email protected] you can also add him on whats app +2348162084504 He can as well cure so many diseases like........... 1. ALS 2. HPV 3. CANCER 4. HIV/AIDS 5. BREAST ENLARGEMENT
    • [email protected]
      Any body reading this testimony now should help me to rejoice and thank dr tokubo for curing me completely from herpes virus . I was told i have herpes in 2015, i have been taking different kinds of medication still yet no improvement until i saw testimonies of a woman who dr tokubo helped to cure herpes. I was skeptical about contacting him but i also knew the importance of herbal medicine because i have heard about it before that i work perfectly, i made up my mind and contacted him we talked on phone and he prepared the herbs medicine and send the medicine to me through DHL delivery services which i took according to his dosage information. Now I’m so happy I’m cured from Herpes my heart is so filled with joy because my herpes test came out negative, thank you so much Dr Tokubo. If you are reading this and you have Herpes or any kind of disease contact him +2349037990322 or email him at [email protected]
    • [email protected]
      Hello everyone!! I was diagnosed of Genital Herpes Simplex Virus (HSV) in 2015 and I have tried all possible means to get cured, i even visited Some Hospital where they gave me some drugs like Famvir, Zovirax and Valtrex which are very expensive but all to no avail, until i saw a post in a health forum about a herbal doctor from West Africa who prepare herbal medicine to cure all kind of diseases including Herpes Simplex Virus, at first i doubted if it was real but decided to give it a try, when i contact this herbal doctor via his email he sent me a herbal medicine through courier service, when i received this herbal medicine, he gave me step by instructions on how to apply it, when i applied it as instructed i was totally cured of this deadly disease within 12-14 days of usage, if you are suffering of this diseases you can as well Contact this great herbal doctor via his email; [email protected] or whatsapp no:+2348159921615

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