by Antibubbles
How long after herpes infection to the eyes does the first outbreak occur?
It takes aproximately 3-14 days after the initial infection for herpes viral keratitis to present with signs and symptoms but this also depends on your immune system, it's intactness and efficiency and the preferred site of the virus, which in the case of HSV-1, is the mouth and face. So it could take longer for you to see the initial outbreak.
The first thing you should know is that the outbreak is unilateral, that is, it occurs in one eye at a time. It will start out red with sudden severe pain, a scratchy feeling on the surface of the eye and (depending on the precise site of the outbreak) blurred vision. Be on the lookout for complications - stromal keratitis, iridocyclitis, corneal ulcers and sinusitis, to name four.
If you are able, get antiviral treatment that includes oral acyclovir.
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