Self-induced cicatricial conjunctivitis with symblephara.
OBJECTIVE
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.


METHODS
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.
Kovarik
G G
GG
University of Ottawa Eye Institute, Ottawa General Hospital, Ontario, Canada.
Hodge
W G
WG
D000328:Adult; D002921:Cicatrix / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003228:Conjunctiva / Q000293:injuries* / Q000473:pathology; D003231:Conjunctivitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005131:Eye Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005141:Eyelid Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000150:complications; D012652:Self Mutilation / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy