Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Dry eyesm allergies with outbreaks of HSV-1 in lips.

Resolved Question:

I have hsv-1 and have been infected for 5 years old patientnow. Thus far ive only had outbreaks on my lip which is where my first outbreak occured. Ive been seeing alot of research on webmd,,,,, mayo clinic,, and lately stating that hsv-1 can reactivate at random and rather than traveling back down to my lips it will follow the nerves to my eyes instead causing ocular herpes even if I don't actually spread it there by touching a sore then my eye. I've noticed that based on research this occurs for the first time in people mostly between the ages of 30-40, people with previous hsv infections of the mouth or nose, and people who wear contact lenses. My fear is im about to enter my 30's, i have cold sore reactivation blisters on my lips from time to time, and i wear contact lenses daily. Im wondering should i give up contact lenses to lessen my chances of hsv randomly spreading through my trigeminal nerve and activating in my eye instead of just going back to my lip like it has been thus far? I also suffer from dry eyes and allergies and  have to use over the counter allergy eye drops and over the counter lubricating eye drops and even sometimes the prescription Restasis. I don't know if any of that increases my risk or not

Category: Ophthalmologist

Ask Your Own Question

Category: Ophthalmologist
 26 Doctors Online

Thanks for your query at
I don't think wearing contact lenses would be a reason to acquire ocular HSV. You just need to maintain proper hygiene and cleanliness before wearing them on. A direct touch first to blisters and then back to eyes may spread the infection to the eyes.
Hope it helps,

Patient replied :

Thank you doctor for your response, here are some snap shots of the articles that I had read through that caused my concern.

Thanks for getting back. I can see why you are concerned, but I can assure you that with proper aseptic precautions before putting the contact lenses on there is no way you can eye infection from it.

Patient replied :

I guess I thought maybe it didn't have anything to do with dirty lenses it was just that maybe contacts put more stress on the eyes or dry them or something thus weakening them making it more likely for herpes to randomly activate there. So I should pay no attention to any of those articles I showed you in the pictures?

No, please contiue using the lenses, as long as you can maintain strict lens hygiene.

Patient replied :

One other concern I have is I've recently in the last year started randomly suffering from irritated eyes and dry eyes. Even during warm humid seasons. I almost daily have to use regular over the counter moisturizing and lubricating eye drops and I also at times have a prescription for Restasis eye drops. I get bad allergies as well and use Zaditor eye drops for that. Will allergy eyes and or really dry irritated eyes affect my risk at all for herpes to just one day randomly travel down the nerves to my eyes and give me an ocular herpes infection rather than just traveling to my lips as it always has since I was first infected with this virus? Don't know if dry eye damage or allergies or any of those drops affect my immune system and keeping the herpes virus out of my eyes.

No it will not increase your risk for Herpes. Recurrence of herpes through nerves into the eyes has nothing to do with the things you mentioned.

Dr. Manish Malhotra
Category: Ophthalmologist
Fellowship: L. V. Prasad Eye Institute, Hyderabad
Fellow Pediatric Ophthalmology & Squint (L.V. Prasad Eye Institute, Hyderabad)
Medical School, Residency: MBBS, DOMS, FLVPEI, Nagpur university, 1995
Dr. Manish Malhotra and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news