Abstrato

A case of pseudo-ocular cicatricial pemphigoid caused by aerosolized hypochlorite water

Tomot Nishi

Pseudo-ocular cicatricial pemphigoid (OCP) is an intractable keratoconjunctival disease which mimics ocular surface findings of OCP. The disease is usually caused by long-term administration of eye drops. We present a case of suspected pseudo-OCP in a 56-year-old woman on the basis of clinical findings, such as swelling of the eyelids, shortening of the conjunctival sacs, and symblepharon in both eyes. She was constantly using hypochlorite water at work, and exposure to aerosolized hypochlorite water was suspected as the cause of her pseudo-OCP. We instructed her to avoid aerosolized hypochlorite water environment and prescribed fluorometholone eye drops, which resulted in an improvement in the clinical findings. This is the first case report of pseudo-OCP caused by exposure to a chemical aerosol, not by direct application of eye drops. In cases of pseudo-OCP suspected, physicians should consider not only the history of eye drop use, but also exposure to aerosolized chemicals