DR. ANISHA VIJAYAN

Dr.NISHEETA S. AGARWALA, Dr. RASHMI SHUKLA

Abstract

24 years old female known case of SLE and Lupus nephritis had an episode of left eye peripheral ulcerative keratitis and later an episode of both eyes blepharokerato conjunctivitis secondary to meibomitis and meibomian gland dysfunction both of which responded well to systemic and local immunosuppresants and lid hygiene. Again she developed an episode of severe ulcerative blepharitis with severe meibomitis in both eyes for which eyelash sample was sent which came out to be Demodex for which treatment was given. Later on, she developed right sided facial paralysis secondary to herpes zoster with lagophthalmos. Post this she developed right eye exposure and neurotrophic keratitis with secondary microbial infection which was treated with topical antibiotics. Right eye lateral paramedian tarsorrhaphy was done. Presently, right eye lagophthalmos is resolved and both eyes corneal surface stable. Currently, she is on lubricant eyedrops and general ocular hygiene measures.