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Spontaneous corneal perforation in a patient with lamellar ichthyosis and dry eye.
[lamellar ichthyosis]
We
report
spontaneous
corneal
perforation
in
a
patient
with
lamellar
ichthyosis
.
The
patient
presented
with
complaints
of
pain
,
redness
,
diminished
vision
,
and
discharge
in
her
right
eye
for
15
days
.
Visual
acuities
were
light
perception
in
the
right
and
20
/
400
in
the
left
eye
.
Cicatricial
ectropion
in
both
lower
eyelids
and
2
mm
perforation
site
in
the
center
of
the
right
cornea
were
observed
.
Lamellar
ichthyosis
was
suspected
because
of
scaling
and
excessive
dryness
of
entire
body
skin
and
was
confirmed
by
skin
biopsy
.
Amniotic
membrane
transplantation
and
transient
tarsorraphy
was
performed
and
systemic
anti-
ichthyosis
therapy
was
started
.
The
follow-up
visits
were
not
possible
because
of
patient
inconsistency
.
In
patients
with
cicatricial
ectropion
secondary
to
ichthyosis
,
corneal
health
should
be
closely
monitored
because
of
the
perforation
risk
.
