Hello,
Thank you for your query at DoctorSpring.com
Yes there is a slight possibility for the infection spreading to the eye, and mostly in the form of HSV-Keratitis or corneal ulcers.
In case the infection spreads from a cold sore to the eyes, it should manifest within 7 days. If it doesn't then you can consider it as no risk.
They say 30 days, because in rarest of cases, it can appear as late as after a month.
Moreover from one such isolated accidental exposure, it is highly unlikely that you will develop an eye infection.
Regards.
Patient replied :
How worried do I need to be that it may travel up the trigemaniel ganglion and spread to my eye by means of the ophthalmic of the fith cranial nerve. (Yes I'm worried and been googling things on the Internet) I have always been worried that I'll spread it to my eyes by way of touching an active sore and then my eye, but now I'm seeing it could travel there without me even touching my eye by way of the nervous system. How worried should I be? I'm a 28 year old male in the usa and a contact lens wearer. I've also had chicken pox as a kid.
Hello,
Thank you for the follow up.
See in patients with herpes simplex, herpes viruses have a predilection for nerve ganglions. That is where they lodge at their hibernation times, when there are no outbreaks. So predicting the exact risk is difficult, however in your lifetime i will say the chances of it travelling an lodging at your trigeminal ganglion is not more than 5-10 %. Google will unncessarily worry you, since a lot of people put up wrong facts and that actually is detrimental.
Don't worry as of now. As per your previous question, from one such isolated incident chances of eye infection is extremely unlikely.
Regards.
Patient replied :
Well I was exposed to it by kissing a girl who had an active sore on her lip and I was unaware. It happened when I was 24 and I am now 28. I get 2-4 outbreaks per year and as of now they have been only on my lip where I had my very first outbreak. I'm just worried that it will spread to my eye eventually via the nerves where it hibernates.
See there is always that possibility of it spreading to the eye. But it's really remote.
Also considering the number of outbreaks you get, your immunity is fine and it can't be that widespread.
So there is no reason to worry.
Regards.
Patient replied :
I'm battling my second outbreak in the last 30 days actually. Idk if it's progressing? Or I'm eating things that trigger it? Or being that I work outside year around? Or if my immune system is getting weaker to the hsv? I put carmex on my lips at least twice a day and take a lysine supplement. Usually I have an outbreak about every 4-8 months. Never had 2 outbreaks in one month. Which is partly why I'm worried about it spreading else where
Even stress can aggravate the outbreaks.
Sporadically there can be 2 outbreaks in a month.
That does not indicate the immune system is getting weaker.
It will slowly get better.
Also as i told you, you're a healthy male, so the virus can't spread elsewhere. Your immune system will be abl to control it.
Regards.