Dr. Pooja Mokashi, M15162, Dr. Rakhi Khade, Dr. Tuhina Kunwar, Dr. Nangia Vinay Kumar B, Dr. Ajit Kumar Sinha
BACKGROUND: OCP is systemic autoimmune disease presenting as chronic recurrent bilateral conjunctivitis.
CASE SUMMARY: 45year old female came with complaints of redness, epiphora, photopbobia in both eyes since 21 years which improved with topical steroids. Examination showed reflex watering, trichiasis, MGD with fornicial shortening, superior tarsal scarring, diffuse bulbar congestion and punctate epithelial erosions in both eyes. Diagnosis of dry eye with MGD was made and was put on lubricants and oral antibiotic. No improvement in symptoms over 2 weeks heralded the need of conjunctival biopsy. Post operatively scarring was noted at biopsy site, report was suggestive of OCP. Patient was started on systemic immunosuppressants in conjunction with an immunologist. She noted marked symptomatic improvement post onset of treatment.
CONCLUSION: OCP is potentially blinding disorder often misdiagnosed or diagnosed in late stages. Early diagnosis and immunosuppression prevents blinding sequel.