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Ligneous conjunctivitis: a case report.

M Shimabukuro¹, N Iwasaki, Y Nagae

¹Department of Ophthalmology, Osaka University Medical School, Osaka, Japan.

Japanese Journal of Ophthalmology

|August 4, 2001

Summary

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Ligneous conjunctivitis, a rare condition, was successfully treated in a 10-year-old boy using fluorometholone and cyclosporin. This treatment is effective, especially for patients with a history of corticosteroid glaucoma.

Area of Science:

Ophthalmology
Rare diseases
Conjunctival disorders

Background:

Ligneous conjunctivitis is a rare chronic condition causing pseudomembranes on mucous membranes.
It presents with recurrent conjunctivitis and can affect other sites like the mouth and trachea.

Observation:

A 10-year-old boy presented with visual impairment, discomfort, and discharge, but no itching.
Clinical findings included large follicles and recurrent pseudomembranes, consistent with ligneous conjunctivitis, despite the absence of woody conjunctival hardness.
The patient had a history of corticosteroid glaucoma from prior dexamethasone use.

Findings:

The case demonstrated key features of ligneous conjunctivitis, differentiating it from vernal keratoconjunctivitis.
Successful treatment was achieved with a combination of fluorometholone and cyclosporin, following trabeculotomy.

Related Experiment Videos

Histological diagnosis was challenging due to a lack of consistent characteristics in reported cases.

Implications:

Ligneous conjunctivitis should be considered in the differential diagnosis of vernal keratoconjunctivitis.
Cyclosporin offers an effective alternative treatment for ligneous conjunctivitis, particularly in patients with corticosteroid-induced glaucoma.