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Year : 2013  |  Volume : 1  |  Issue : 3  |  Page : 157-159

Corneal keratin horn in a case of ocular cicatricial pemphigoid: A relentless disease

Department of Ophthalmology, Bharati Vidyapeeth Deemed University Medical College, Pune, India

Correspondence Address:
Nandini Ramchandran
B-3/6, Salunke Vihar, Salunke Vihar Road, Pune
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-3897.116852

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We report a rare case of progressive corneal blindness in a 65-year-old female, who was diagnosed as cicatricial pemphigoid, after almost three decades of suffering recurrent oral ulcerations. The left eye was affected earlier, and to a greater extent and severity. Subsequently, the disease progressed to complete corneal keratinization in the left eye. This case highlights the natural course of the disease, wherein the patient finally sought ophthalmic consultation for the recurrent appearance of a horn like growth in the left eye along with vision impairment due to cataractous change in the less affected right eye. At this time, patient had obvious features of ocular cicatricial pemphigoid (OCP) such as formation of multiple symblephara in the right eye and a hard dry growth in an immobile, blind left eye. To the best of our knowledge, corneal keratin horn formation has not been reported as a feature of OCP so far.

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