Ocular cicatricial pemphigoid

Ocular cicatricial pemphigoid showing loss of caruncle, 
shallowing of the lower fornix and symblepharon.

Shallowing of the lower fornix and symblepharon in
ocular cicatricial pemphigoid
There are symblepharons (seen mainly inferiorly) with shortening of the lower fornix. The tear film is poor. The caruncles are obliterated (this may be the first sign in early ocular cicatricial pemphigoid). The eyelids may be distorted giving rise to entropion, ectropion and trichiasis. The cornea may be opacified with neovascularization.

Look for:

  • ulcers on the tongue or buccal mucosa
  • skin lesions


1. What conditions may simulate ocular cicatricial pemphigoid?

2. How would you treat a patient with ocular cicatricial pemphigoid?

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