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.
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