What are treatment options for primary ocular herpes infection in patients with herpes simplex virus (HSV) keratitis?

Updated: Jan 18, 2019
  • Author: Jim C Wang (王崇安), MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Treatment options for primary ocular herpes infection include the following:

  • Ganciclovir ophthalmic gel 0.15% - 5 times daily

  • Trifluridine 1% drops - 9 times daily

  • Vidarabine 3% ointment - 5 times daily

  • Oral acyclovir 400 mg - 5 times daily for 10 days [20] ; oral acyclovir is the preferred treatment in patients unable to tolerate topical medications and with good renal function

  • A cycloplegic agent may be added to any of the above regimens for comfort from ciliary spasm.


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