This affection of the supraorbital branch of the fifth cranial nerve
may extend to the eyelids. It may not go beyond the stage of blistering
and redness with some edema. However, it is possible for it to become
gangrenous and even extend to the conjunctiva and cornea. I had one
case of herpes zoster gangrenosa of this region. There were several
gangrenous spots as large as a dime on the forehead and extending down
in the region of the eyelid. The process extended to some extent on the
cornea and in healing left a condition of irregular astigmatism.
=Treatment.=—The prognosis in herpes zoster is always favorable under
osteopathic treatment. Lesions of the cervical region will almost
invariably be found interfering with the sympathetic connections of
the fifth cranial nerve causing the trophic disturbance to the region.
Osteopathic treatment applied to these conditions will always hasten
normalization. The affected part might be kept covered with some
soothing lotion to keep the skin soft.