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I have a p in biology expertise in evolutionary biology, genetics, ecology, botany, and herpetology ; , and have worked extensively with veterinarians who are on the cutting edge of rabbit medicine. Other Serious Implications Of HSV Eye Infections - HSV may infect the eye and lead to a condition called herpes keratitis. There is pain and light sensitivity, a discharge, and a gritty sensation in the eye. Without prompt treatment, scarring of the eye may result. Other complications of cold sores particularly in kids with eczema, they can spread to other areas, or burns, and extensive spread or get into the eye, the commonest infectious cause of blindness. Diagnosis: The appearance of HSV is often so typical that no further testing is necessary to confirm an HSV infection. However, if the diagnosis is uncertain, as it may be in the genital or cervical areas, a swab from the infected skin culture ; may be taken and sent to the laboratory for analysis. Other laboratory tests available for diagnosis include specially treated scrapings examined under the microscope, and blood tests for antibodies. Some tests are only valid in the early stages, and more than one of these tests may be required to confirm the presence of herpes. Genital herpes can be mistaken for other diseases, including syphilis. A small number of women with genital herpes don't know they have it because it occurs on the cervix which is not sensitive to pain. How do you treat it? Usually you don't treat it at all because treatment with antiviral agents only shortens the lesions about a day. Most time unless people are very concerned about these we don't treat them. We suppress it with anti-viral such as aciclovir, famciclovir, or valaciclovir, valtrex and keep it at bay. Microvascular Decompression It's been known that if you fiddle around with the trigeminal ganglion during surgery and you cause minor irritation to it, almost invariably virus will be shed in the saliva. In fact 75% of the people, who have this operation will develop cold sores. In an informal clinical trial it has been shown quite clearly that you can almost completely prevent that by a course of aciclovir immediately after MVD. You can get shingles on the trunk on the leg, or anywhere the shingles comes out along the course of the nerve. ; you can get shingles on the face - shingles in the trigeminal nerve area. The shingles actually erupts the same way as herpes. It actually infects the ganglion the same way, comes down the nerve the same way, but it does something quite different to herpes. It actually damages the nerve. We don't know how. We are trying to find out at present. We are doing a lot of research on this. It causes almost certainly the body immune response is damaging the nerve which is infected with herpes and it causes scarring and that scarring goes all the way back into the spinal cord. In some people the actual roots of the nerve get mixed up, so that the pain fibres get mixed up with their touch fibres and they experience pain with post herpetic neuralgia. Up to 50% of people can get pain after the shingles, after the rash heals pain persist. Some people can go on for a year. It can be very depressing and it can be very painful. Sometimes even with wind blowing on the skin can give people pain. We know now that if we treat shingles in the early phase when it first appears, if we treat that with famvir or valtrex that we can half the post herpetic neuralgia rate. We can't do better than even though we use steroids and got really good drugs we are not really doing better than that. That is why we need to do more research. If you can get pain and infection on the face and that pain persist beyond the time of the rash, is it possible to get shingles without the rash that causes the pain ? That in fact does happen - shingles without rash. Maybe TN might be shingles with out rash." Q & A followed. Please watch the video!

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