June 2013

Lichen Simplex Chronicus of the Conjunctiva

Author Affiliations

Author Affiliations: Departments of Ophthalmology and Visual Sciences (Drs Potter, Lee, Khedr, Albert, and Burkat) and Dermatology (Dr Hinshaw), University of Wisconsin, Madison. Dr Lee is now with the Scheie Eye Institute, University of Pennsylvania, Philadelphia.

JAMA Ophthalmol. 2013;131(6):816-818. doi:10.1001/jamaophthalmol.2013.1890

Lichen simplex chronicus (LSC) is a disorder commonly encountered by dermatologists, caused by constant rubbing of the skin that clinically induces thickening and lichenification. While a case report of LSC of the eyelids has been published,1 a careful search of the literature did not disclose any prior case of LSC of the palpebral conjunctiva.

A 58-year-old woman presented to the ophthalmology service at the University of Wisconsin with foreign body sensation and redness of the left eye for 2 months. The patient reported that an outside ophthalmologist had given her a prescription for gentamicin sulfate ophthalmic ointment for treatment of bacterial conjunctivitis, but she developed extreme itchiness after using the ointment for a few days and presented for a second opinion.

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