ocular herpes mpost dental bone grafts

[shelbar]

I had bone grafting, then several days later my right eye became very red, i was placed on cleocin 150mg tid, after about a week and a half, my eye seemed to be getting better. I had another bone graft done, the my eye flared up again, was put on gentamaycin eye drops and back on cleocin at 600mg. Eye getting worse {very very red, painful}. went to an opthamologist where he diagnosed ocular herpes to the epethial layer, not the cornea. i was placed on antiviral eye drops and a broad spectrum eye antibiotic in adition to oral antivirals. he stated in his experience, major dental/periodontal work can trigger the trigeminal nerve and since I had a fever blister years ago, I had the virus in me...so this time it went to my eye. I need additional bone grafts done. #1: how long should I wait until I get the grafts...I want this current episode of ocular herpes to "settle down". #2: What are the chances of getting it again after the graft?  #3: If I do get it again will it be a worse case? The episode lasted a good 7 weeks.  #4: should I always be taking the oral antiviral...valtrex?
thanks you,
shelbar

[shelbar]

Thanks for your response. I think I will have to pre medicate before any more dental procedures, even my routine cleaning. Just bought an insulated case to carry antiviral eye drops {small purse size}. Opt, said I need to use drops within 6 hurs of symptoms.

[Hamidreza Nassery , DMD, FICOI, FAGD, FICCMO]

I think your opt. was right on the money.. many times stress from the dental work will bring on these type of reaction. I actually have a pt. with simmilar circumstances , albeit , not ocular, but severe enough that we pre med her with oral Anti-virals before the procedure. This usually makes the episodes much shorter and milder..
Hope this help.