[Question #3696] Worried..!!!! Ocular Herpes?? Pls Advise

33 months ago
Hi Sir,

Good Morning.

My friend accidentally spit (just a small single drop into my left eye) today accidentally while talking who is having active cold sores in her outer lips. I'm very much worried on contracting Ocular Herpes in my eyes due to this exposure.

I went onto immediately washed my eyes with tap water though.

So, My queries are,

1) Considering this exposure, am I in risk for Ocular Herpes on my left eye.

2) I then went on to wash my eyes by pouring water every one hour or so. Currently, I am having watery eyes on my left eye.I feel like my left eye is wet and having some water, when I close my eye, the water droplets are coming out..(is it due to infection )? 

Pls note, this is happening after 4 hours of my exposure.

3) Rightt now, while I'm typing, it is been 9 hours since exposure, I'm having a feeling like my left eye get irritated and having discomfort.Does it sounds like a infection?

4) Usually, How much time it will take for symptoms to show up for Ocular herpes and what are those common symptoms?

5) I just consulted a Opthamalogist in online and he advised me to put Teary Eye Drops in my eyes for 5-6 times a day. Can I use it?

6) Considering all my Symptoms and exposure, what is the percentage of chance for me to having the herpes in my eyes.


I'm scared . Please advise me.

Note : I don't have both hsv1 and hsv2. I have recently got tested . So, by this exposure do I need to be worry? Pls advise

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
33 months ago
I don't think there is any real risk of getting herpes from the spit.  Usually when people are having an outbreak on the lip, the virus isn't necessarily in saliva but rather on the skin where the outbreak is located.  The spit would have come from inside the mouth and such a tiny quantity is so unlikely to have the quantity of infectious virus anyway.  I think you are just fine.  I would say the chance of infection is well below 1 in 10,000.  To note:  the IgG test misses 30% of hSV 1 infections compared to the gold standard western blot

Terri
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33 months ago
Thanks for the response,  Terri. It is been 2.5 days now, but I have a slight discomfort and sometimes a slight pain on my left eye where the saliva happened to entered.

My Friend recently diagnosed with Malaria as well. I know malaria wont spread through saliva. But considering my slight Discomfort/pain on my left eye, do I need to worried about any bacterial/viral(herpes) infection on my eye which is causing this discomfort/pain which seems to be more consistent in these 2.5 days?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
33 months ago
I do not believe that you need to be worried about herpes in your eye.  If you can't relax about this, see an eye doctor for a professional opinion and evaluation - I suppose something else could be going on there besides herpes.

Terri
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33 months ago
Thanks a lot Terri for coming back to me. I went to eye doctor and he examined and told me that my eye is fine. No infections. But, I still have pain going on in my right eye and sometimes below my right eyebrow :( So, not sure what is causing it.

And out of all this the greatest confusion is this one,

I took HSV1 and HSV2 test on my 5th day of symptoms and my results are,

Hsv1 - IgG : 0.80 IU/ml
Hsv1- IgM: 0.40 IU/ml

Hsv2 - IgG : 0.70 IU/ml
Hsv2 - IgM : 0.20 IU/ml

And again I took the same test from the another lab on my 14 day of my symptoms and the results are,

Hsv1 - IgG : 2.95 
Hsv1 - IgM : 0.83

Hsv2 - IgG : 1.37
Hsv2 - IgM : 0.46

Both are ELISA based testing performed on two diff labs on the gap of 9 days.

It really confusing me now and putting me under major stress :( 

Which lab tests are wrong, Terri ? Could it be first lab result or second lab result.

PS : My last sexual act was before 5 months exactly and previously when I took herpes test , it came back negative for both HSV1 and HSV2.

So yeah, which lab tests are wrong, Terri ? Could it be first lab result or second lab result.




Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
32 months ago
Your first HSV 1 was a high negative.  Your second HSV 1, done at a different lab, has a positive HSV 1 and may well be accurate.  And your HSV 2 is a low positive and needs confirmatory testing by western blot.  I would strongly recommend a herpes western blot to clarify your situation.  These results are confusing and I can see why you are worried.   For the record, if you have HSV it is not from the spit.

Terri
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