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BMJ Case Reports 2009; doi:10.1136/bcr.02.2009.1584
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Turning a blind eye: ocular mucous membrane pemphigoid

  1. Suran Loshana Fernando1,
  2. Phillip Myers2
  1. 1
    Royal North Shore Hospital, Clinical Immunology and Allergy, Reserve Road, St. Leonards, New South Wales, 2065, Australia
  2. 2
    Bankstown Hospital, Ophthalmology, Eldridge Road, Bankstown, New South Wales, 2200, Australia
  1. Suran Loshana Fernando, sfernando{at}nsccahs.health.nsw.gov.au
  • Published 26 July 2009

A man in his 60s presented with dry eyes and progressive deterioration in vision bilaterally over a 2-year period. He was treated a number of times presumptively for conjunctivitis with topical antibiotics. Upon referral to an ophthalmologist, physical examination revealed the presence of conjunctival scarring with loss of the fornix, symblepharon (adhesion between conjunctival surfaces of the lid and globe), entropion (lid inversion due to conjunctival scarring) and …

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