Cruz AA, Menezes FA, Chaves R, Pinto Coelho R, Velasco EF, Kikuta H. Eyelid abnormalities in lamellar ichthyoses.
Ophthalmology 2000;
107:1895-8. [PMID:
11013195 DOI:
10.1016/s0161-6420(00)00333-x]
[Citation(s) in RCA: 43] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
PURPOSE
To describe eyelid abnormalities in lamellar ichthyoses (LI).
DESIGN
Retrospective observational case series.
PARTICIPANTS
Eight patients with classic LI and two patients with congenital ichthyosiform erythroderma.
METHODS
Results of eyelid and corneal examinations of 10 patients with LI were reviewed and analyzed with emphasis on the relationship between eyelid ectropion and corneal damage.
RESULTS
All patients presented with cicatricial lagophthalmos. Of the eight patients with classic LI, five had ectropion of the four eyelids, one had only lower ectropion, and two had no degree of ectropion. Two patients with congenital ichthyosiform erythroderma had distinct eyelid abnormalities, including madarosis and eyelash retraction. Loss of vision caused by corneal damage was found in three patients with classic LI. Of these three patients, two did not have upper eyelid ectropion.
CONCLUSIONS
Severe corneal damage can occur in LI even if there is no upper or lower eyelid ectropion.
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