与扁平苔藓相关的瘢痕性角结膜炎。
Cicatricial keratoconjunctivitis associated with lichen planus.
作者信息
Huang Susan, Channa Prabjot
机构信息
Department of Ophthalmology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA.
出版信息
GMS Ophthalmol Cases. 2015 Oct 7;5:Doc08. doi: 10.3205/oc000030. eCollection 2015.
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.
目的
描述一例与扁平苔藓相关的瘢痕性角结膜炎病例。
方法
病例报告。
结果
据我们所知，这是第六例报道的与扁平苔藓相关的瘢痕性角结膜炎病例。一名73岁女性患有持续性瘢痕性角结膜炎。颊黏膜活检标本的组织病理学研究显示为扁平苔藓。
结论
扁平苔藓可能是瘢痕性角结膜炎的病因。局部应用环孢素可能使眼表稳定，严重病例可能需要额外的全身免疫抑制治疗。通过活检进行正确诊断对于启动积极的抗炎治疗以避免视力丧失至关重要。
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