Loocally. The infection most dealt with is that of the cornea, the window in front of the eye. The virus, once started, spreads from cell to cell on the surface by contact and tear flow. You need to see an ophthalmologist quickly to get some effective medicine to prevent this as scarring is possible.
Simplex. Is not easily spread except through intimate contact. Zoster though can be especially if someone has not been vaccinated or has not had chickenpox in the past.
Yes. The herpes virus type one lives in the trigeminal ganglion of the brain. It can travel to the lips, nose or eye and is contagious to those persons who have not been exposed to the virus before and thus have no antibodies.
Contact. Only if one kisses the eye when the lesions are fresh and open. It can move in the other direction also. This would be rare, not common. More often one with a fresh herpes lesion rubs their eye, then touches something that the person with the vulnerable lips also touches and then rubs the lips.
Can you still have sex when you have an outbreak of ocular herpes or is it spread throughout your system?
Yes. Local only. It is reactivation of the herpes simplex virus along the trigeminal nerve. This usually affects the cornea or lids. It is the same virus that causes fever blisters. The lesions are infectious when the break out occur.
Auto inoculation. Herpes simplex cornea infection is sometimes called dendritic keratitis based on the shape of the corneal ulcer. It is usually acquired by transferring the virus from one's mouth to one's eye via the finger.
Virus in nerves. Herpes virus is an almost universal infection in children. Many are defeated but some take up residence in nerve roots throughout the body. They can then be activated by stress, disease, etc. - traveling down the nerve to the skin or in the eye, to the cornea. Transmission in adults from other parts of your body does not occur unless you have immune system problems.
Topical antivirals. Of a variety of types are effective in active keratitis. I do not think it is clear that adding oral Acyclovir adds anything more.
Variable appearances. If eyelid or lids are involved, often an area of redness with tenderness and some swelling will occur. A wart or veruca vulgaris lesion often is less concerning. If you treat or touch the area, you risk spreading virus particles (like herpes) to the eye surface (cornea) & things can get much more complicated & dangerous including risks to vision. Best to see an eye physician & be safe!
Big difference. Eye dryness is usually from low or altered tear flow and is annoying but not usually pathologic. It is usually somewhat chronic. Herpes is a viral infection, usually on the cornea or on the lids of the eye. It can do considerable damage, may be recurrent and should be treated quickly by your ophthalmologist.
SEE DOC NOW. Occular herpes infection--keratitis, needs rather urgent evaluation and treatment to minimize damage to the cornea/eye which can cause blindness. Early anti-herpes medication is needed. So, if you have herpes in your eyes, or any significant infections, pain, vision change etc. Consult doc asap. Vision is precious and priceless. Consult doc now. Good luck.
Painful. Blisters around the eyelids. Sometimes the eyeball gets red and inflamed and cornea can get involved- must see ophthalmologist.