Koebner phenomenon is the development of isomorphic pathologic lesions on a wound of a patient with preexisting cutaneous disease, most commonly psoriasis. An elderly male with palmoplantar psoriasis developed periocular psoriasis in the form of blepharitis and conjunctivitis following an external dacryocystorhinostomy as a manifestation of Koebner phenomenon. Immediate diagnosis and treatment with topical steroids led to complete recovery. Thus, the authors report the first case of Koebner phenomenon in ophthalmic literature, with a review of previously published postsurgical cases of Koebnerization in psoriasis patients. All surgeons should be aware of its existence and warn susceptible patients regarding its occurrence.
This is the first case report in ophthalmic literature of periocular psoriasis as a manifestation of Koebner phenomenon following trauma due to external dacryocystorhinostomy incision on skin in an elderly patient with palmoplantar psoriasis.
*Ophthalmic Plastic Surgery, Ocular Oncology & Aesthetic Services, LV Prasad Eye Institute, Vijaywada, India; and †Department of Dermatology, Venereology and Leprosy, Alluri Sitarama Raju Academy of Medical Sciences, Eluru, Andhra Pradesh, India
Accepted for publication September 3, 2017.
The authors have no financial or conflict of interest to disclose.
Address correspondence and reprint requests to Anasua Kapoor Ganguly, M.D., F.I.C.O., Ophthalmic Plastic Surgery & Aesthetic Services, LV Prasad Eye Institute, Vijaywada, India 521137. E-mail: firstname.lastname@example.org