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Cicatricial keratoconjunctivitis associated with lichen planus
1Department of Ophthalmology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA.
Purpose:
To describe a case of cicatricial keratoconjunctivitis associated with lichen planus.
Methods:
Case report.
Results:
To our knowledge, this is the sixth reported case of cicatricial keratoconjunctivitis associated with lichen planus. A 73-year-old woman had persistent cicatricial keratoconjunctivitis. Histopathologic studies of the buccal mucosa biopsy specimen revealed lichen planus.
Conclusion:
Lichen planus is a possible cause of cicatricial keratoconjunctivitis. Topical cyclosporine may stabilize the ocular surface, and additional systemic immunosuppression may be needed in severe cases. A correct diagnosis through biopsy is essential to start aggressive anti-inflammatory treatment to avoid vision loss.
