Herpes Simplex

Herpes simplex is a very common viral condition caused by the herpes simplex virus (HSV-1). The virus is the cause of “cold sores”. The same virus can also affect various areas of the eye including the cornea. While often mild, it can lead to serious complications if not diagnosed and treated appropriately.
Centre for Sight image of Woman with sheilding eyes from sun

What is Herpes Simplex Eye Infection?

Herpes Simplex Eye Infection occurs when the herpes simplex virus affects the cornea, the clear front surface of the eye. The most common form is epithelial keratitis, where the virus infects the outermost layer of the cornea. In more severe cases, deeper layers of the cornea may be involved, leading to stromal keratitis, which can cause scarring and vision loss if untreated.

Most people carry HSV-1 from a young age, and the virus can lie dormant in the body before becoming reactivated, often triggered by stress, illness, or sunlight.

Centre for Sight couple strolling through london after herpes simplex procedure at Centre for Sigh

What are the Symptoms of Herpes Simplex?

Symptoms of a herpes simplex eye infection can range from mild irritation to serious vision impairment. Common signs include:

  • Eye redness and irritation
  • Watery or gritty sensation
  • Sensitivity to light (photophobia)
  • Blurred vision
  • Eye pain
  • Recurrent episodes of eye discomfort

If you experience any of these symptoms, especially if they recur, prompt assessment by an eye specialist is essential.

Treatment for Herpes Simplex

Treatment depends on the severity and depth of the infection:

  • Topical antiviral eye drops or ointments are typically used for epithelial keratitis.
  • Oral antiviral medications may be prescribed in recurrent or more serious cases.
  • For stromal keratitis, treatment may include steroids alongside antivirals to reduce inflammation and prevent scarring.
  • In cases where the cornea is significantly damaged, a corneal transplant may be considered.

Early diagnosis and treatment are key to avoiding long-term damage.

Additional Information on Herpes Simplex

Can Herpes Simplex Eye Infections recur?

Yes. Once HSV is in the body, it can reactivate and cause recurrent infections. Managing triggers and using long-term antiviral medication in frequent cases can reduce recurrence.

Is it contagious?

HSV-1 is a contagious virus, often transmitted through skin-to-skin contact. However, eye infections typically result from reactivation of the virus already present in the body, rather than direct transmission to the eye.

Can it cause permanent vision loss?

If left untreated, recurrent or severe infections can lead to scarring of the cornea and permanent vision problems. However, with proper treatment, most people recover well.

Can Herpes Simplex Eye Infection affect both eyes?

Herpes simplex eye infections typically affect only one eye, but in rare cases or in individuals with weakened immune systems, both eyes can be involved. Early intervention and appropriate treatment help reduce the risk of bilateral infection and prevent complications.