Related Experiment Video
Updated: Aug 7, 2026
03:59
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Bilateral lower eyelid margin erosion associated with lichen planus
Riad N Ma'luf1, Myrna M El-Shareef, Issam H Hamade
1Department of Ophthalmology, American University of Beirut-Medical Center, Beirut, Lebanon. RMALUF@cyberia.net.lb
Ophthalmic Plastic and Reconstructive Surgery
|July 21, 2006
Summary
Bilateral lower eyelid erosion and redness, unresponsive to steroids, were diagnosed as lichen planus after a biopsy. This finding highlights a rare presentation of this condition affecting the eyelids.
Area of Science:
- Dermatology
- Ophthalmology
Background:
- Eyelid margin disorders can present with chronic inflammation and erosion.
- Topical corticosteroids are a common first-line treatment for inflammatory eyelid conditions.
Observation:
- A 32-year-old female patient exhibited persistent bilateral lower eyelid margin erosion and erythema over several years.
- The patient's condition did not improve despite undergoing topical corticosteroid therapy.
Findings:
- A full-thickness excisional biopsy of the affected eyelid tissue was performed.
- Histopathological examination of the biopsy specimens confirmed the diagnosis of lichen planus.
Implications:
- This case suggests that lichen planus should be considered in the differential diagnosis of chronic, steroid-resistant eyelid margin erosions.
- Ophthalmologists and dermatologists should be aware of this unusual manifestation of lichen planus for accurate diagnosis and management.
Related Concept Videos
01:22Microbiome of the Eye
The human eye has a specialized microbiota that reflects its unique anatomical and immunological environment. This low-biomass microbial community predominantly colonizes the conjunctiva and eyelid margins, playing a vital role in ocular surface homeostasis and defense. Despite its proximity to the richly colonized facial skin, the ocular surface maintains a distinct microbial profile due to continuous mechanical and biochemical defense mechanisms.The conjunctival surface hosts fewer microbial...
01:17Accessory Structures of the Eye
Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...