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Herpes on the eyelid
Last reviewed: 23.04.2024
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Respiratory diseases, hypothermia or overheating of the body, contact with a chicken pox patient can most often precede herpes on the eyelids. Perhaps the development of keratitis, iridocyclitis, optic neuritis, paralysis of the external muscles, even a few months or years after the illness.
Symptoms of the herpes on the eyelid
Herpes simplex on the skin of the eyelids appear bubbles, erosion, then a crust. The healing of herpes on the eyelids occurs without scarring, the general condition almost does not suffer. The patient complains of a burning sensation, tingling at the site of the lesion of the eyelids. Histological examination indicates a change in the cells of the spinous layer, in the epidermis - serous exudate. In the dermis - swelling, dilation of blood vessels.
Viral damage of the node or branches of the trigeminal nerve, depending on which branches of the trigeminal nerve are affected, in typical cases, captures the upper, but sometimes the lower or both centuries, the corresponding half of the forehead, nose, conjunctiva of the eyeball and with the involvement of the nasoresporeal nerve - cornea and iris. Rash sharply delimited in the midline of the forehead and nose. The incidence of herpes zoster in the eyelid increases dramatically with age, it is more common in people older than 50 years.
Symptoms of herpes zoster in the eyelid: lacrimation and photophobia, hyperemia and swelling of the eyelid skin; against this background - a rash of vesicles with transparent contents, which can merge and take on a purulent, bloody or gangrenous character, then crusts form.
Herpes zoster on the eyelid has the following forms:
- abortive form of herpes zoster on the eyelids - red spots appear on the eyelids, and then disappear;
- hemorrhagic form of herpes zoster on the eyelids - the bubbles merge, hemorrhagic discharge appears;
- gangrenous form of herpes zoster on the eyelids - ulcerated surface after the removal of pustules, then a scab, scarring. After this form of the disease, eversion, torsion, and age can be formed.
The general condition suffers - general malaise, fever, severe neurological pain with simultaneous anesthesia ("painful anesthesia"), hyperesthesia or paresthesia in the area innervated by the affected first. If n.nasociliaris is involved in the pathological process, a rash appears at the inner angle of the palpebral fissure. Characterized by an increase and pain of regional lymph nodes.
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Treatment of the herpes on the eyelid
Herpes simplex on the eyelid is treated with the help of muscle stimulants, ointments (oxolinic, theobrophenic, florenalic) are locally prescribed. It is necessary to eliminate the predisposing factors - hypothermia, contacts.
Treatment of herpes zoster for centuries consists of hospitalization in severe cases in a dermatological hospital, where consultation with an ophthalmologist and a neuropathologist should be provided.
- Analgesics inside.
- Lubricate the rash with a 5% acycdovir ointment (“Zovirax”) or a 1% alcohol solution of brilliant green.
- Antiviral therapy is carried out (virolex, iododeoxyuridine, oxolin, florenthal, chelemine, interferon, vitamins A, B, C, E; corticosteroids in micro doses).
More information of the treatment