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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
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated