AI Article Synopsis
- A case is reported where a patient experienced worsening symptoms of undiagnosed ocular cicatricial pemphigoid after surgery to correct entropion.
- The surgery involved a lateral tarsal strip due to eyelid laxity and no signs of ocular cicatricial pemphigoid were evident prior to the procedure.
- After the operation, the patient developed severe inflammation of the conjunctiva and abnormal tissue adhesion, leading to a biopsy that confirmed the presence of ocular cicatricial pemphigoid, highlighting the importance for clinicians to consider this condition even in cases that seem straightforward.
Article Abstract
We report a case of exacerbation of undiagnosed ocular cicatricial pemphigoid after repair of involutional entropion. A lateral tarsal strip was performed to address entropion in the setting of eyelid laxity. No evidence of ocular cicatricial pemphigoid was observed before surgery. Postoperatively the patient developed intense conjunctival inflammation and diffuse symblepharon formation. Conjunctival biopsy demonstrated immunoglobulin and complement deposition at the basement membrane consistent with ocular cicatricial pemphigoid. Clinicians should be aware of the possibility of underlying ocular cicatricial pemphigoid in all patients with entropion, including those without a cicatricial component.
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| http://dx.doi.org/10.1097/IOP.0b013e318166dd47 | DOI Listing |
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