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Updated: Dec 14, 2025

Technique of Conjunctival Biopsy and Direct Immunofluorescence for Diagnosing Mucous Membrane Pemphigoid
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Ocular cicatricial pemphigoid.

Cristina Stan1,2, Emanuela Diaconu2, Livia Hopirca2

  • 1University of Medicine and Pharmacy, Cluj-Napoca, Cluj, Romania.

Romanian Journal of Ophthalmology
|July 21, 2020
PubMed
Summary
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Ocular cicatricial pemphigoid (OCP) is a severe autoimmune eye disease causing vision loss. Early diagnosis and treatment are crucial to manage complications like dry eye and corneal damage.

Area of Science:

  • Ophthalmology
  • Autoimmune Diseases
  • Ocular Surface Disease

Background:

  • Ocular cicatricial pemphigoid (OCP) is a chronic autoimmune blistering disease affecting the eyes.
  • It leads to progressive conjunctival scarring, eyelid abnormalities, and severe dry eye syndrome.
  • Complications include corneal keratinization, ulcers, and potential permanent vision loss.

Observation:

  • This case series presents three patients diagnosed with OCP.
  • All patients experienced severe dry eye syndrome, entropion, and corneal erosions.
  • The progression of OCP led to irreversible vision impairment in these individuals.

Findings:

  • OCP significantly impacts the ocular surface, causing debilitating symptoms.
  • Systemic immunosuppressive and corticosteroid therapy are standard treatments for OCP.
Keywords:
OCPdry eye syndromeentropionsymblepharon

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  • Surgical interventions may sometimes exacerbate the disease progression.
  • Implications:

    • Effective management of OCP requires a multidisciplinary approach.
    • Understanding the progression of OCP is vital for preventing vision loss.
    • Further research into novel therapeutic strategies for OCP is warranted.