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Ectropion in upper eyelid is often considered as a consequence of thermal burn injury or trauma and skin disease, that causes excessive scarring or shrinkage in the skin or subcutaneous tissue. Herpes zoster, known as shingles is caused by varicella zoster virus. After primary inoculation, this virus lies dormant in neuronal ganglia until it is triggered by any of an assortment of factors. In case of involving the ganglion of the fifth cranial nerve(trigeminal nerve), it can descend down the affected nerve into the skin, then producing an eruption in the dermatome which is innervated including forehead, ocular and periorbital area in recurrent episode. We report one patient with cicatricial ectropion of the left upper eyelid secondary to herpes zoster. As a result of repeated healing process of herpes vesicles, he had a total exposed palpebral conjunctiva and scar contracture of the left upper eyelid. Surgical scar release of the lid traction, excision of scars, and full thickness skin graft were done with satisfactory outcome.
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