Hello and thanks for your question. Are you available to chat?
Thank you for your detailed history...
From what you've said it sounds like you have had a keratitis, or infection of the cornea from the shingles virus.
To treat this does require several days of the 5x/day, 800mg antiviral that you had.
Studies have shown, though, that to prevent a recurrence of the virus in the cornea, as well as decreasing the chance of the other eye having this (a separate event), being on prophylactic antiviral for the 1st year after the corneal infection is the best thing.
yes but this doctor in Qatar is telling me I need to stay on Antivirals for at least a year
The does for this is usually 400mg twice daily.
There are research studies that show that this is the best treatment protocol to prevent recurrences in the same eye, which can often times be more damaging than the initial infectious episode.
What is the average time that the pain continues in the eye?
The pain is variable. If the pain you're referring to is intermittent sharp, stabbing pains, or foreign-body sensations, this is variable, but usually doesn't last too long. These types of pains can be helped by using artificial tears 4x/day. If the pain you're referring to is deep-seated, aching or pressure type pain, this usually goes away once the inflammation is successfully controlled and your doctor should be able to determine whether this is the case or not. That's why they prescribed the steroids to help control the inflammation.
I had the stereoids eye drop but the last time I visited by Opthalmologist he said the eye pressure is ok
my pain is not pressure type but I guess it is deep-seated stabbing type
It isn't always the pressure that causes eye pain. More often than not, it is just the inflammation itself which can cause the achy, pressure-type pain. Sometimes the inflammation can cause a stabbing type of pain, but if it is a deep pain, this is more likely inflammation related. If it is more of a superficial pain, this often relates to irritation on the cornea itself, which usually responds to using artificial tears 4x/day. I would recommend going ahead and using some artificial tears in this manner, but they have to be done consistently to work.
is that ok to stop Lyrica & Amytryptiline?
The Lyrica and the Amitriptyline are for the very painful skin lesions that you had. Assuming this has stopped and your primary doctor hasn't instructed you otherwise, then I think it would be reasonable to stop these, but if you're in doubt, I would ask your primary doctor first.
thank you very much for your help doctor
You're welcome. Do you have any other questions about this that I can help you with?
I just wanted to confirm since this has been going on since late April and medical here is such that I wanted a second opinion. The skin Leisons have healed for the most part although there are marks left but the pain periodically continues in the eye and general area. So I wanted a second opinion
You seem to confirm with this doctor has said
Okay, I hope it's been helpful.
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My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.