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    Taking on surgery in HSV patients

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

     

    The risk never diminishes to zero.

    “The scariest part is that the first episode can actually be stimulated by just having eye surgery,” Dr. Yeu said.

    Surgeons and patients should weigh the risks against the benefits of the surgery under consideration.

    “With cataract surgery, you know there’s actually a pathology there,” Dr. Yeu said. “Thus, the benefit of the likely improvement in vision can easily outweigh the risk of stimulating an HSV recurrence, whereas it is more difficult to justify this risk when considering a corneal refractive surgery candidate whose vision could easily worsen by a recurrent keratitis.”

    Potentially devastating complications, albeit rare, can include fulminant herpetic keratouveitis with flap necrosis

    Even less-severe infections, such as a short-lived course of epithelial keratitis, can lead to suboptimal vision from irregular astigmatism or scarring, she said.

    People with HSV infections can be considered good candidates for cataract surgery if their infections have been inactive for at least 6 months, and the cataract extraction could lead to an overall vision improvement. Ultimately, any corneal pathology (corneal scarring or topographic irregularity) can lead to less-than-ideal vision, Dr. Yeu said.

    Candidates for corneal refractive surgery, such as LASIK, should not have had an active infection in the past year, evidence of stromal disease, irregular topography, irregular pachymetry maps, or abnormal corneal sensitivity, she added.

    HSV prophylaxis

    For patients who have an inactive HSV infection, she recommended starting prophylaxis a day before surgery and maintaining it for 7 to 14 days afterward.

    “If you can carry anti-viral prophylaxis through until they are reduced on their steroids to about once a day, that is a very smart thing to do because steroids themselves can trigger an episode of active viral epithelial keratitis,” Dr. Yeu said.

    Prophylaxis anti-viral regimens to consider include valacyclovir 500 mg po BID, acyclovir 400 mg po BID, and topical ganciclovir 0.15% gel to the operative eye. The literature on ganciclovir is sparse, but using the ganciclovir gel as frequently as the steroid drop is used could be a reasonable protocol, Dr. Yeu said.

    HSV keratitis

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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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