{"id":6402,"date":"2020-06-23T08:52:20","date_gmt":"2020-06-23T08:52:20","guid":{"rendered":"https:\/\/www.optometrists.org\/wordpress\/?page_id=6402"},"modified":"2021-07-26T10:28:25","modified_gmt":"2021-07-26T10:28:25","slug":"internal-eye-infections","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/dry-eye\/conjunctivitis-and-eye-infections\/internal-eye-infections\/","title":{"rendered":"Internal Eye Infections"},"content":{"rendered":"<h2>Here is a guide to the most common internal eye infections, their symptoms, and treatment methods.<\/h2>\n<p>Eye infections can be quite uncomfortable, causing redness, pain, and inflammation.<\/p>\n<p><strong>If you are experiencing any eye pain or vision problems,<a href=\"https:\/\/www.optometrists.org\/practice-search\/\"> schedule an eye exam<\/a> as soon as possible.<\/strong><\/p>\n<p>If you think you may have an eye infection, schedule an eye exam as soon as possible to catch the infection in its early stages\u2014 many eye infections can lead to permanent vision loss if not treated effectively.<\/p>\n<h2><b>1. Ocular herpes<\/b><\/h2>\n<p>Ocular herpes, most commonly called eye herpes, develops when the eye is infected by the herpes simplex virus (HSV-1). Sometimes referred to as a \u2018cold sore on the eye\u2019, this condition is a common, recurring viral infection that causes inflammation and, if left untreated, can cause permanent scarring of the cornea<b>.\u00a0<\/b><\/p>\n<p>Eye herpes is highly contagious and can be transmitted through close contact with someone who has an active virus, or through self contact and contamination from a cold sore on the lip.<\/p>\n<p>The National Eye Institute (NEI) estimates:<\/p>\n<ul>\n<li>\u00a0<b>400,000 Americans have had some form of eye herpes.<\/b><\/li>\n<li><b>\u00a050,000 new and recurring cases occur each year.<\/b><\/li>\n<\/ul>\n<p>Eye herpes can range in severity from mild to sight-threatening, depending on the type:<\/p>\n<p><b>1. Herpes keratitis: <\/b><\/p>\n<p><b>This is the most common form of eye herpes, caused by a viral corneal infection. <\/b>This type of ocular herpes usually affects <i>only<\/i> the top layer (epithelium) of the cornea, and generally heals without scarring.<\/p>\n<p><b>2. Stromal keratitis: <\/b><\/p>\n<p><b>This form results as the infection spreads deeper into the cornea.<\/b> This type of eye herpes can lead to scarring, and partial or total vision loss. According to NEI, about 25 percent of new and recurring cases of herpes eye infections result in stromal keratitis.<\/p>\n<p><b>3. Iridocyclitis: <\/b><\/p>\n<p><b>This is a severe form of eye herpes that results from inflammation of the iris and surrounding tissues inside the eye.\u00a0 <\/b>Iridocyclitis is a type of uveitis that affects the frontal part of the eye. When the infection develops in the retina or the inside lining of the back of the eye, it is known as <i>herpes retinitis<\/i>.<\/p>\n<h3><strong>Symptoms of ocular herpes\u00a0<\/strong><\/h3>\n<ul>\n<li style=\"font-weight: 400;\">Eye sores<\/li>\n<li style=\"font-weight: 400;\">Redness<\/li>\n<li style=\"font-weight: 400;\">Irritation<\/li>\n<li style=\"font-weight: 400;\">Swelling<\/li>\n<li style=\"font-weight: 400;\">Tearing<\/li>\n<li style=\"font-weight: 400;\">Foreign body sensation<\/li>\n<li style=\"font-weight: 400;\">Watery discharge<\/li>\n<li style=\"font-weight: 400;\">Light sensitivity<\/li>\n<li style=\"font-weight: 400;\">Recurrent eye infections<\/li>\n<\/ul>\n<p>In some cases, inflammation of the cornea will cause irritation, or a sudden and severe pain in the eye, and cloudy or blurry vision.<\/p>\n<p>Symptoms typically present in one eye, though eye herpes can sometimes affect the other eye as well.<\/p>\n<h3><b>Risk factors\u00a0<\/b><\/h3>\n<p>While the exact cause of an eye herpes infection remains unknown, the following factors have been shown to lead to an increased risk.<\/p>\n<ul>\n<li style=\"font-weight: 400;\">Fever<\/li>\n<li style=\"font-weight: 400;\">Trauma<\/li>\n<li style=\"font-weight: 400;\">Surgical or dental procedures<\/li>\n<\/ul>\n<p>Additionally, according to the NEI:<\/p>\n<p><b>Eye herpes has about a 50 percent chance of recurring\u2014 from several weeks or several years following the initial infection.\u00a0<\/b><\/p>\n<h3><b>Treatments<\/b><\/h3>\n<p>There is currently no cure for eye herpes.<\/p>\n<p>In most cases, eye herpes will heal on its own in a week or two, but if symptoms persist, there are treatments that can control the infection<b>.<\/b><\/p>\n<p>If the corneal infection is only superficial, your eye doctor will prescribe an antiviral medication in the form of an eye drop, ointment, or oral medication.<\/p>\n<p>If the infection has spread into the deeper layers of the cornea, corticosteroid eye drops will be prescribed to reduce inflammation and prevent corneal scarring. These drops are typically used in combination with antiviral drops.<\/p>\n<p>Depending on your specific case, your eye doctor may debride, or brush off, your cornea with a cotton bud to eliminate infected cells.<\/p>\n<p>In rare cases when corneal scarring occurs and steroid treatments prove to be ineffective, a corneal transplant may be required to restore vision.<\/p>\n<p><strong>If you experience eye pain or vision loss, <a rel=\"noopener\" href=\"https:\/\/www.optometrists.org\/practice-search\/\" target=\"_blank\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.optometrists.org\/practice-search\/&amp;source=gmail&amp;ust=1627371425620000&amp;usg=AFQjCNEN9biLv4ZhFno6CJFjhMakfIA6ZQ\">contact an eye doctor<\/a>\u00a0near you, who can diagnose and treat the condition.<\/strong><\/p>\n<p><strong>SEE RELATED: <\/strong><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/dry-eye\/conjunctivitis-and-eye-infections\/dry-eyes-what-is-intense-pulsed-light-therapy\/\">Dry Eyes: What Is Intense Pulsed Light Therapy?\u00a0<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>2. Uveitis<\/b><\/h2>\n<p>Uveitis is an inflammation of the uvea, the central layer of the eyeball\u2014 caused by an eye infection. The uvea is responsible for transporting blood to the retina, which is responsible for transmitting images to the brain.<\/p>\n<p>Uveitis most commonly results from immune system conditions, viral infections or eye injuries<b>.<\/b><\/p>\n<p><b>In most cases, uveitis doesn\u2019t cause any long-term effects, but vision loss can occur if severe cases are left untreated.\u00a0<\/b><\/p>\n<ul>\n<li><strong>Uveitis affects approximately 1 in 4500 people.<\/strong><\/li>\n<li><strong>Uveitis is most common between the ages 20 to 60.\u00a0<\/strong><\/li>\n<li><strong>In western countries, anterior uveitis accounts for up to 90% of uveitis cases.<\/strong><\/li>\n<\/ul>\n<h3>Symptoms<\/h3>\n<ul>\n<li style=\"font-weight: 400;\">Redness<\/li>\n<li style=\"font-weight: 400;\">Pain<\/li>\n<li style=\"font-weight: 400;\">Blurry vision<\/li>\n<li style=\"font-weight: 400;\">Light sensitivity<\/li>\n<li style=\"font-weight: 400;\">\u201cFloaters\u201d in visual field<\/li>\n<\/ul>\n<h3><b>Treatments\u00a0<\/b><\/h3>\n<p>In most cases, uveitis is treated with eye drops or eye injections to relieve pain and inflammation. If the infection has spread beyond the eye, oral antibiotics will be prescribed as well. In severe cases, medications to subdue the immune system will be recommended as well.<\/p>\n<p>Uveitis typically improves after a few days of treatment and normal vision should return.<\/p>\n<p><strong>If you have any concerns about your vision, don\u2019t hesitate to contact your eye doctor.<\/strong><\/p>\n<h2><b>3. Periorbital cellulitis<\/b><\/h2>\n<p>Periorbital cellulitis, also known as eyelid cellulitis, develops when eye tissues become infected.<\/p>\n<p><b>Cellulitis is most commonly caused by an injury such as a scratch\u2014 which creates a warm invitation to infectious bacteria, such as <\/b><b><i>Staphylococcus<\/i><\/b><b> (staph).<\/b><\/p>\n<p>Cellulitis can also result from a bacterial sinus infection, or infection of another nearby structure. Cellulitis is most common among the pediatric population.<\/p>\n<h3>Symptoms<\/h3>\n<ul>\n<li style=\"font-weight: 400;\">Eyelid redness<\/li>\n<li style=\"font-weight: 400;\">Eyelid swelling<\/li>\n<\/ul>\n<p><b>Cellulitis does not usually cause any eye pain or discomfort.<\/b><\/p>\n<h3><b>Treatments\u00a0<\/b><\/h3>\n<p>Your eye doctor will usually prescribe an oral antibiotic such as amoxicillin, to treat the bacterial infection. In rare cases, if the infection progresses in severity, surgery will be indicated to relieve the pressure within the eye.<\/p>\n<p>In the meantime, to reduce swelling, doctors recommend applying a warm compress to your eye for 20 minutes, a few times a day.<\/p>\n<h2><b>4. Endophthalmitis<\/b><\/h2>\n<p>Endophthalmitis is severe inflammation of the inside of your eye caused by a bacterial or fungal infection. Candida fungal infections are the most common cause of endophthalmitis. However, this type of infection can also develop after an eye injury, or more specifically, when the eye is penetrated by an object.<\/p>\n<p>In rare cases, endophthalmitis can develop after certain eye surgeries, such as cataract surgery.<\/p>\n<h3>Symptoms<\/h3>\n<ul>\n<li style=\"font-weight: 400;\">Redness<\/li>\n<li style=\"font-weight: 400;\">Swelling<\/li>\n<li style=\"font-weight: 400;\">Eye pain<\/li>\n<li style=\"font-weight: 400;\">Discharge<\/li>\n<li style=\"font-weight: 400;\">Blurry vision<\/li>\n<li style=\"font-weight: 400;\">Light sensitivity<\/li>\n<li style=\"font-weight: 400;\">Partial or complete vision loss<\/li>\n<\/ul>\n<h3><b>Treatments<\/b><\/h3>\n<p><b>If the infection is caused by an eye penetration, seek emergency medical care.<\/b><\/p>\n<p>The object will need to be removed by a trained professional\u2014 never try to remove a foreign object from your eye by yourself.<\/p>\n<p>Infections caused by bacteria or fungi will typically be treated with antibiotic injections. The medication is injected into the eye with a special thin needle to treat the infection. Many times, a corticosteroid injection will be given as well, to reduce inflammation.\u00a0 After proper care, symptoms should subside within a few days.<i>\u00a0<\/i><\/p>\n<h2><b>When to see your doctor<\/b><\/h2>\n<p><strong>If you are experiencing any eye pain or vision problems,<a href=\"https:\/\/www.optometrists.org\/practice-search\/\"> schedule an eye exam<\/a> as soon as possible. <\/strong><\/p>\n<p>It is important to treat eye infections as early as possible to ensure optimal treatment results and reduce the risk of complications.<\/p>\n<p><strong>LEARN MORE:\u00a0<\/strong>\u00a0<a rel=\"noopener\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/\" target=\"_blank\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/&amp;source=gmail&amp;ust=1627371425620000&amp;usg=AFQjCNFAkq20Jd9C3VzyQMS6lJ_Six2mcA\">Guide to Eye Conditions<\/a><\/p>\n<p><em><b>If you experience any<\/b> <b>sudden ocular pain or vision changes, seek immediate medical care.\u00a0<\/b><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Here is a guide to the most common internal eye infections, their symptoms, and treatment methods. Eye infections can be quite uncomfortable, causing redness, pain,<\/p>\n","protected":false},"author":4,"featured_media":6484,"parent":5454,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[204,246,173,299,136],"class_list":["post-6402","page","type-page","status-publish","has-post-thumbnail","hentry","tag-eye-drops","tag-infection","tag-surgery","tag-vision-loss","tag-vision-problem"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Internal Eye Infections - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/dry-eye\/conjunctivitis-and-eye-infections\/internal-eye-infections\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Internal Eye Infections - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"Here is a guide to the most common internal eye infections, their symptoms, and treatment methods. 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