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Corneal Involvement by Lichen Planus Pigmentosus.
Mohammad Soleimani1, Seyed Ali Tabatabaei1, Reza Mirshahi1
1a Farabi Eye Hospital, Tehran University of Medical Sciences , Tehran , Iran.
Lichen planus pigmentosus (LPP) can affect the eyes, causing pigmented lesions on eyelids, conjunctiva, and cornea. This case highlights LPP
Area of Science:
- Ophthalmology
- Dermatology
- Pathology
Background:
- Lichen planus pigmentosus (LPP) is a distinct variant of lichen planus (LP).
- LPP is histopathologically defined by pigmentary incontinence.
Observation:
- A case of LPP with significant ocular manifestations is presented.
- Ocular findings included pigmented eyelid margins, conjunctival, and corneal lesions.
- Histopathologic and confocal scanning supported LPP as the underlying systemic cause.
Findings:
- This report details the first known instance of direct corneal involvement by lichen planus.
- Ophthalmic presentations of LPP are described.
Implications:
- Ophthalmologists should consider LPP in patients with unexplained pigmented ocular lesions.
- Early diagnosis of LPP can be facilitated by recognizing its ophthalmic manifestations.
- This case expands the understanding of LPP's systemic and ocular involvement.
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