About Dr. Atul Ursekar Expertise I am a qualified Ophthalmologist with specialty fellowship training and special interest in Vitreo-retinal diseases and surgery. I will be happy to answer most questions related to general ophthalmology and especially those related to vitreous and retinal disorders and their management. I do not practice contact lens fitting, orbital or oculoplastic surgery.
Experience I am practising ophthalmic medicine & surgery for over 12 years including specialized techniques like phacoemulsification with intraocular lens implantation, glaucoma surgery, laser photocoagulation, vitrectomy and retinal detachment surgery. I have special experience in the diagnosis and management of retinopathy of prematurity.
Question Hi my name is Abe and I was diagnosed with ocular herpes a couple years ago. When It falred up my doctor gave me trifluridine but I developed an allergic reaction to it. My question is if I ever got stromal keratitis and needed to take steroids for it could I use oral acyclovir as an alternativto trifluridine since Im allergic to trifluridine. I appreciate you help in this question.
Answer There are various forms and drug delivery methods to treat corneal disease due to herpes. These include various combination of drugs including anti-viral, steroid and if required antibiotics. These may be delivered orally (systemically) or locally (eye drops/ointment).
Which combination of drugs need to be given and by what method (orally or locally or both) will be determined clinically by your ophthalmologist depending upon the actual condition of the cornea. Your allergies and side effects will be noted prior to starting any medications. You should inform your ophthalmologist about them.