The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

a

a

Chronic ocular cicatricial pemphigoid

Photo by Professor Chua Chung Nen

This 70 year-old man was discharged from the hospital 3 years ago after his attending ophthalmologist thought nothing could be done for his ocular condition and he was certified blind. Before he lost his sight, he had had a four-year history recurrent of bilateral ocular inflammation which was intermittent controlled with topical medications. Unfortunately, his previous ophthalmic record was destroyed as he was discharged from the hospital care. His family took him back to the hospital to find out if the new ophthalmologists might be able to offer any helps in improving his vision. His visual acuity was light perception in the right eye and hand movement in the left eye. The eyes could not be open fully because of symblepharons. The corneas were covered with by membranes extending from the conjunctiva. However, the oral mucosa appeared normal. The history and examination suggested that he suffered from ocular cicatricial pemphigoid which had now burnt out.

Surgery is unlikely to be useful due to stem cell deficiency. However, the patient has been listed for removal of the membrane over the left cornea with buccal mucosa and amniotic membrane graft.

 

Bilateral small palpebral aperture as a result of symblepharons.

 

Close-up view of the right eye.

 

Close-up view of the left eye.

 

Next Anterior Segment Case