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Cicatricial conjunctivitis - External and Internal Eye
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Cicatricial conjunctivitis - External and Internal Eye

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Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
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Synopsis

Cicatrizing conjunctivitis is a generic diagnosis that includes any etiology of ocular inflammation associated with scarring of the conjunctiva. Cicatrization can be seen with common viral infections such as adenovirus conjunctivitis, inflammatory conditions such as Stevens-Johnson syndrome, and autoimmune processes such as ocular cicatricial pemphigoid. The scarring can be mild with shortening of the conjunctival fornix to adhesions extending from the bulbar to the tarsal conjunctiva, called symblepharon. Often, the eyelids will rotate inward, allowing eyelashes contact with the corneal surface and causing the patient pain and foreign body sensation. In the most severe cases, the eyelids can fuse with the conjunctiva preventing blinking and wetting of the corneal surface, leading to scarring of the corneal surface. The demographics of cicatrizing conjunctivitis depend on the underlying etiology. Stevens-Johnson syndrome tends to occur in younger patients and is more common in women than men; it can have a rapidly progressive course. Ocular cicatricial pemphigoid has a much slower timeline and is more common in an older male patient population.

Codes

ICD10CM:
H10.89 – Other conjunctivitis

SNOMEDCT:
403436006 – Cicatrizing conjunctivitis

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Last Updated: 01/20/2015
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Cicatricial conjunctivitis - External and Internal Eye
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Cicatricial conjunctivitis : Eye pain, Conjunctival scarring, Palpebral conjunctival injection, Entropion, Symblepharon, Conjunctival injection, Eyelash misdirection
Clinical image of Cicatricial conjunctivitis
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