Cicatrising Conjunctivitis; Ocular Cicatricial Pemphigoid & Stevens Johnson Syndrome. This lecture is addressed to young Ophthalmologists/oculoplastic surgeons and is not designed nor is it directed to the general audience.
محاضرة موجهة لشباب الاطباء و ليست موجهة للعامة
Important Take HOME messages in this talk:
OCP
1. Always look out for OCP in patients with chronic recurrent conjunctivitis resistant to all forms of treatment.
2. Always RULE OUT OCP in patients with canalicular fibrosis before doing a CDCR or inserting a Jones Tube. You will make symptoms worse and accelerate disease progression. In fact canalicular fibrosis early on in the disease is protective and delays disease progression for years. Do NOT lose this advantage by doing a CDCR
3. Do NOT rule out OCP in younger patients.
SJS (Stevens Johnson Syndrome)
1. Trichiasis is not the sole cause of ocular surface irritation in patients with SJS. Always rule out eyelid margin thickening/keratinization which alone can cause severe repeated ocular surface microtrauma and destruction of limbal stem cells.
