Corneal ulcer as an atypical presentation of ocular cicatricial pemphigoid

R. Sgrulletta, A. Lambiase, A. Micera, Stefano Bonini

Research output: Contribution to journalArticlepeer-review


PURPOSE. To describe three patients, each presenting noninfective corneal epithelial damage as first manifestation of ocular cicatricial pemphigoid (OCP). METHODS. Case report. RESULTS. Patients 1 and 2 were referred to the authors' clinic for corneal ulcer while Patient 3 for relapsed epithelial defects. All patients had negative history for systemic diseases and microbiological tests were negative. Topical steroid treatment induced the complete resolution of corneal damage. During the follow-up period, the onset of mild conjunctival fibrosis in the lower fornix allowed the authors to suspect OCP, confirmed by conjunctival biopsy. CONCLUSIONS. In the three patients corneal damage was an early sign of OCP, in the absence of typical signs of conjunctival fibrosis. The authors thus suggest considering conjunctival biopsy as a useful additional test in the management of idiopathic corneal ulcers.

Original languageEnglish
Pages (from-to)121-123
Number of pages3
JournalEuropean Journal of Ophthalmology
Issue number1
Publication statusPublished - Jan 2007


  • Conjunctival biopsy
  • Corneal ulcer
  • Ocular cicatricial pemphigoid

ASJC Scopus subject areas

  • Ophthalmology


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