Ocular lichen planus as a cause of recurrent restrictive strabismus.
J AAPOS
; 28(3): 103920, 2024 Jun.
Article
en En
| MEDLINE
| ID: mdl-38631481
ABSTRACT
We report the case of an 80-year-old man with restrictive strabismus in lateral gaze following multiple oculoplastic procedures for idiopathic epiphora. Despite excellent initial response to nasal conjunctival recession with lysis of adhesions and a miminal recession of the medial rectus muscle, the patient suffered recurrence of diplopia associated with limitation of abduction due to aggressive, deep, subconjunctival scarring. Given the history of oral lichen planus (LP), the patient was diagnosed with ocular involvement of LP. He underwent a second conjunctival recession, this time accompanied by an intensive LP treatment regimen. Nine months after surgery, he remained diplopia free and orthophoric in primary gaze. Surgeons treating restrictive strabismus in patients with LP should consider implementing systemic and topical immunosuppressive treatment simultaneously with surgical management.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Recurrencia
/
Estrabismo
Límite:
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
J AAPOS
Asunto de la revista:
OFTALMOLOGIA
/
PEDIATRIA
Año:
2024
Tipo del documento:
Article