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. Eye involvement in pemphigus foliaceus is more common. The skin around the eyes and eyebrows is often affected. A quarter of all patients lose part or all of their eyebrows. Pemphigus foliaceus often affects the skin of the eyelid and eyelid margins.