Also, the treatments for these diseases have many ocular side effects. Therefore it is very important that an Ophthalmologist examines the eyes of patients with pemphigus . This is especially true at the beginning of symptoms and treatments so any eye problem can be promptly handled. Ocular involvement in pemphigus vulgaris is uncommon according to the medical literature. However, a group of patients have been described with eye irritation, excessive tearing, and foreign body sensation where the eye symptoms preceded the appearance of mouth and skin lesions.
Blisters can involve the skin surface of the eyelids.
Since the skin around the eyes is very thin this area must be cared for gently, usually with warm compresses and a mild steroid cream. These rarely cause scarring. Since this is usually not infectious only warm compresses are needed. Treatment entails warm compresses and eye lid scrubs. Dry eye irritation can be a problem which is treated with preservative-free artificial tears.