Herpes Simplex of the Eyelids
Acute, usually unilateral eyelid disorder accompanied by skin and mucous membrane vesicles.
Infection of the skin of the eyelids results when latent herpes sim-plex viruses present in the tissue are activated by ultraviolet radiation. The virus spreads along sensory nerve fibers from the trigeminal ganglion to the surface of the skin.
Typicalclustered eruptionsof painfulvesiclesfilled with serousfluid frequently occur at the junction of mucous membranes and skin (Fig. 2.13). Later the vesicles dry and crusts form. Lesions heal without scar-ring. The disorder is usually unilateral.
Topical use of virostatic agents is indicated. The patient shouldavoid intense ultraviolet radiation as a prophylactic measure against recur-rence.
The prognosis is good, although the disorder frequently recurs.