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January 2000

Chronic Progressive Ocular Cicatrization

Author Affiliations


Arch Dermatol. 2000;136(1):113-118. doi:

A 69-year-old African American man with a history of severe bilateral open-angle glaucoma and blindness of his left eye dating from 1960 presented to the dermatology service for treatment of eyelid lesions in 1980. A biopsy specimen previously obtained from an atrophic erythematous plaque on the patient's cheek revealed discoid lupus erythematosus.

His ophthalmic treatment included a short course of methazolamide and a long-term course of pilocarpine ophthalmic drops in both eyes. At the initial dermatologic presentation, a course of azathioprine treatment was initiated, with resolution of the facial plaque and improvement in bilateral eyelid scarring.