external ocular manifestation in autosomal dominant dystrophic epidermolysis bullosa: a case report

purpose: to present a case of autosomal dominant dystrophic epidermolysis bullosa with symble-pharon formation due to eye rubbing. case report: a 10-year-old girl suffering from blistering and ulcerative lesions of the trunk and palms and dystrophic nails since childhood was referred to our clinic with a symblepharon connecting the medial portion of the right upper lid to the upper nasal quadrant of the cornea. the central cornea in both eyes exhibited a mild subepithelial opacity. she had history of eye rubbing due to foreign body sensation in the right eye, resulting in red eye and blister-like conjunctival lesions 3 years ago. she had undergone surgical symblepharon removal which resulted in recurrence of the symblepharon of more severity. conclusion: dominant dystrophic epidermolysis bullosa may be accompanied by external ocular manifestations. protection of the eye from minor trauma such as rubbing may be useful in the prevention of ophthalmic complications in this entity.