Surgical management of concomitant ptosis and cicatricial entropion in a patient with ocular cicatricial pemphigoid

Abstract Purpose: To report on the surgical management of concurrent ptosis and entropion in a patient with cicatricial pemphigoid. Case report: A 71 year-old patient presented with vision impairment and pain in the right eye due to entropion associated with trichiasis and mild-ptosis. He had a history of ocular cicatricial pemphigoid together with a lung cancer of the apex of the right lung with pleural involvement. There was a history of central retinal vein occlusion of the left eye. Clinical and orthoptic examination was conducted and a decision was made to perform surgical correction of the entropion followed by correction of ptosis avoiding the conjunctival approach. During surgery global alteration and anomalous anatomical relationships of the eyelid tissues was observed. Conclusion: In this patient affected by cicatricial ocular pemphigoid, surgery of both entropion and ptosis avoiding the conjunctiva approach, associated with good medical management of the immune reaction, and resulted in good esthetic and functional outcome without undesirable complications.