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Nasolacrimal Lavage as a Treatment for Ocular Surface Toxic Soup Syndrome

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Published on: April 25, 2025

Lacrimal Drainage System Involvement in Linear Scleroderma.

Swati Singh¹, Mohammad Javed Ali, Dilip Kumar Mishra

¹Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad-34, India.

Ophthalmic Plastic and Reconstructive Surgery

|December 9, 2016

Summary

Linear scleroderma, en coup de sabre, can affect the eyes. This case highlights a rare association with nasolacrimal duct obstruction and dacryocystitis in a patient with this localized scleroderma subtype.

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Area of Science:

Dermatology
Ophthalmology

Background:

Linear scleroderma is a localized fibrotic skin condition affecting the head.
Ocular manifestations of linear scleroderma are uncommon, typically involving episcleritis, dry eye, or uveitis.

Observation:

A 42-year-old male presented with linear scleroderma, en coup de sabre type.
The patient exhibited symptoms of nasolacrimal duct obstruction and chronic dacryocystitis.

Findings:

This report details a rare case of linear scleroderma, en coup de sabre, with concurrent nasolacrimal duct obstruction.
The association between this specific scleroderma subtype and dacryocystitis is not well-documented.

Implications:

This case expands the known spectrum of ocular complications in linear scleroderma.
Highlights the importance of considering lacrimal system involvement in patients with en coup de sabre scleroderma.