Ichthyosis and its Ophthalmologic Complications

Abstract

Ichthyosis is a disease of genetic origin that mainly affects the skin and has several types depending on the inheritance pattern. It produces alterations in the eyelids (lagophthalmos, ectropion) and in the corneal surface (keratitis, corneal abscesses) with high risk of sequelae and visual loss. We present a 59-year-old female patient diagnosed with congenital ichthyosis who presented with lacrimation and foreign body sensation in the right eye, which is her only eye. Biomicroscopic examination showed a medium density corneal infiltrate of 8 mm in diameter with a central perforation of 3 mm in diameter, exposed crystalline lens, anterior chamber in atalamy. The patient was admitted to the Cornea Service of the Cuban Institute of Ophthalmology with a diagnosis of perforated corneal ulcer.