ABSTRACT
The aim of this article is to report clinical features and therapeutic approach of cicatrizing keratoconjunctivitis secondary to ocular lichen planus based on a case report. The patient is a 77-year-old female with a history of ocular discomfort and recurrent keratoconjunctivitis that did not improve with conservative treatment, as well as a history of oral and nasal aphthous ulcers. After a complete ophthalmologic, dermatologic and anatomopathological study, the diagnosis of ocular lichen planus was established and immunosuppressive treatment was initiated. Most cases of ocular lichen planus are presented as chronic cicatricial conjunctivitis. A correct differential diagnosis, as well as an early detection are essential for the control of this entity and its sequelae. Treatment, based on corticosteroids and immunosuppressants, both topical and systemic, is aimed at controlling inflammation and scarring.
ABSTRACT
CASO CLÍNICO: Varón de 4 años de edad diagnosticado de síndrome de Goldenhar, sin antecedentes oftalmológicos relevantes, desarrolla una úlcera neurotrófica secundaria a aplasia de nervio trigémino que es tratada con trasplante de membrana amniótica multilaminar. DISCUSIÓN: En el síndrome de Goldenhar no suele estar descrita la aplasia de nervio trigémino como manifestación oftalmológica típica. Por tanto, parece necesario realizar controles oftalmológicos rutinarios y desde una edad temprana, para evitar la aparición de complicaciones graves asociadas a la anestesia corneal
CASE REPORT: A 4-year-old male diagnosed with Goldenhar syndrome, with an unremarkable ophthalmic history, develops a neurotrophic ulcer secondary to trigeminal nerve aplasia. It was treated with multilaminar amniotic membrane transplantation. DISCUSSION: Trigeminal nerve aplasia is not usually reported in Goldenhar syndrome. Therefore, it seems necessary to perform routine eye examinations, from an early age, to prevent serious complications associated with corneal anaesthesia
Subject(s)
Humans , Male , Child, Preschool , Trigeminal Nerve Diseases/complications , Trigeminal Nerve Diseases/diagnosis , Trigeminal Nerve Diseases/therapy , Corneal Ulcer/classification , Corneal Ulcer/diagnosis , Corneal Ulcer/therapy , Trigeminal Nerve Diseases , Corneal Ulcer/prevention & controlABSTRACT
CASE REPORT: A 4-year-old male diagnosed with Goldenhar syndrome, with an unremarkable ophthalmic history, develops a neurotrophic ulcer secondary to trigeminal nerve aplasia. It was treated with multilaminar amniotic membrane transplantation. DISCUSSION: Trigeminal nerve aplasia is not usually reported in Goldenhar syndrome. Therefore, it seems necessary to perform routine eye examinations, from an early age, to prevent serious complications associated with corneal anaesthesia.