Lacrimal canalicular obstruction in lichen planus.
PURPOSE: To report, for the first time, proximal canalicular obstruction in all four canaliculi of a patient with lichen planus. METHODS: The patient file and examination findings were reviewed, along with relevant literature on lichen planus and the eye. RESULTS: A 67-year-old woman with lichen planus had bilateral epiphora. All four canaliculi were totally obstructed within 2-3 mm of the puncta, and there was mild medial subconjunctival scarring. CONCLUSIONS: Lichen planus is an immune-mediated skin and mucosal disease similar to pemphigoid and lacrimal canalicular obstruction may occur as part of the disease.
McNab
Alan A.
AA
Royal Victorian Eye and Ear Hospital, Melbourne, Australia