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Cicatricial keratoconjunctivitis associated with lichen planus.
1Department of Ophthalmology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA.
GMS Ophthalmology Cases
|September 15, 2016
Summary
Lichen planus can cause cicatricial keratoconjunctivitis, a severe eye condition. Early diagnosis via biopsy and prompt anti-inflammatory treatment are crucial to prevent vision loss.
Area of Science:
- Ophthalmology
- Dermatology
- Pathology
Background:
- Cicatricial keratoconjunctivitis is a severe ocular surface disease.
- Lichen planus is a chronic inflammatory condition affecting skin and mucous membranes.
Observation:
- A case report details a 73-year-old woman with persistent cicatricial keratoconjunctivitis.
- Histopathologic examination of a buccal mucosa biopsy confirmed lichen planus.
Findings:
- This is the sixth reported case linking lichen planus to cicatricial keratoconjunctivitis.
- The findings highlight lichen planus as a potential cause of this ocular condition.
Implications:
- Prompt diagnosis via biopsy is essential for effective management.
- Topical cyclosporine may stabilize the ocular surface.
- Systemic immunosuppression may be required for severe cases to prevent vision loss.

