Self-induced cicatricial conjunctivitis with symblephara

Cornea. 1997 Jul;16(4):495-7.

Abstract

Purpose: Cicatricial conjunctivitis is an uncommon ocular finding with several possible origins. We report a patient whose obsessive-compulsive disorder involved constant self-induced mechanical trauma to the eyes, leading to bilateral cicatricial conjunctivitis.

Method: Case report.

Results: Based on the history, physical examination, ocular surface scraping, and conjuctival biopsy, other causes of cicatrical conjunctivitis were ruled out, and a self-induced cause was confirmed.

Conclusions: Inquiries pertaining to psychiatric history may be important in patients with cicatricial conjunctivitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cicatrix / diagnosis
  • Cicatrix / etiology*
  • Cicatrix / therapy
  • Conjunctiva / injuries*
  • Conjunctiva / pathology
  • Conjunctivitis / diagnosis
  • Conjunctivitis / etiology*
  • Conjunctivitis / therapy
  • Diagnosis, Differential
  • Eye Injuries / diagnosis
  • Eye Injuries / etiology*
  • Eye Injuries / therapy
  • Eyelid Diseases / diagnosis
  • Eyelid Diseases / etiology*
  • Eyelid Diseases / therapy
  • Follow-Up Studies
  • Humans
  • Male
  • Obsessive-Compulsive Disorder / complications
  • Self Mutilation / complications*
  • Wounds, Nonpenetrating / diagnosis
  • Wounds, Nonpenetrating / etiology*
  • Wounds, Nonpenetrating / therapy