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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Irritation With Small Blisters In Eyes Of A Toddler?

I was told my 3 year old daughter has stye s in her eyes yesterday. She came down with a fever on Friday (102 degrees) and has had the fever since. She woke up yesterday morning with small blister looking irritations on both eyes and again this morning she has more. I don t think it is stye s I think it is something else. She was prescibed Erythromycin Ophthalmic Ointment 0.5% but it doesnt seem to be helping. I am also putting warm compresses, when she will let me. What else could this be? Also, I had an irritation in my nose last week (still fighting it) small blister like, red, painful. I have had shingles in the past and it almost felt like the same pain.
Tue, 14 Apr 2020
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Pediatrician 's  Response
Hi,

It would be more easy if you can send a picture of the eyes. Acute onset fever with painful blisters probably indicates herpes infection, a highly contagious disease. From your description, probably you had the illness first as cold sores, which then transmitted to her. She manifested the disease as herpes ophthalmicus.

Uncomplicated stye is unlikely to be associated with fever and should respond to the treatment given already (during initial visit, signs might have been minimal and non-specific). Herpes needs anti-viral treatment with drugs like aciclovir and analgesic support. Kindly review with your doctor. An ophthalmologist will be better.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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What Causes Irritation With Small Blisters In Eyes Of A Toddler?

Hi, It would be more easy if you can send a picture of the eyes. Acute onset fever with painful blisters probably indicates herpes infection, a highly contagious disease. From your description, probably you had the illness first as cold sores, which then transmitted to her. She manifested the disease as herpes ophthalmicus. Uncomplicated stye is unlikely to be associated with fever and should respond to the treatment given already (during initial visit, signs might have been minimal and non-specific). Herpes needs anti-viral treatment with drugs like aciclovir and analgesic support. Kindly review with your doctor. An ophthalmologist will be better. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician