Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico.
Universidad Autónoma de Nuevo León, Rheumatology Service, University Hospital "Dr. José Eleuterio González, Monterrey, Mexico.
Dermatol Ther. 2021 Nov;34(6):e15137. doi: 10.1111/dth.15137. Epub 2021 Sep 25.
Ocular involvement of lichenoid dermatoses, such as lichen planus (LP), lichen planus pigmentosus (LPP), and lichen planopilaris (LPL), although uncommon, is associated with skin manifestations. Isolated ocular involvement is very rare. When lesions are confined to the skin, the dermatologist inquires and evaluates for oral and genital symptoms and lesions, respectively; hence, eye manifestations are commonly neglected by the non-ophthalmologist. Ocular involvement in LP, LPP, and LPL may result in significant morbidity. An ophthalmic interrogatory and a gross ophthalmic evaluation performed by the dermatologist may unravel ocular signs and symptoms that require evaluation by an eye specialist. Ocular surface inflammation and scarring, when untreated, results in serious complications such as corneal perforation and permanent vision loss. This review aims to present an up-to-date overview for the dermatologist of the ocular involvement and complications of LP, LPP, and LPL, and when to refer to the ophthalmologist to prevent blinding complications.
扁平苔藓（LP）、色素性扁平苔藓（LPP）和扁平苔藓性脱发（LPL）等苔藓样皮肤病可累及眼部，虽然并不常见，但与皮肤表现有关。孤立性眼部受累非常罕见。当病变仅限于皮肤时，皮肤科医生会分别询问和评估口腔和生殖器的症状和病变；因此，非眼科医生通常会忽略眼部表现。LP、LPP 和 LPL 的眼部受累可导致严重的发病率。皮肤科医生进行的眼科询问和大体眼科评估可揭示需要眼科专家评估的眼部体征和症状。如果不治疗眼表炎症和瘢痕，会导致严重的并发症，如角膜穿孔和永久性视力丧失。本综述旨在为皮肤科医生提供 LP、LPP 和 LPL 的眼部受累和并发症的最新概述，并介绍何时转介给眼科医生以预防致盲性并发症。
