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Koebner Phenomenon Triggered by External Dacryocystorhinostomy Scar in a Patient With Psoriasis: A Case Report and Literature Review

Ganguly, Anasua, Kapoor, M.D., F.I.C.O.*; Laghimsetty, Srujana, M.S.*; Bhagyalakshmi, Nirupama, M.D.

Ophthalmic Plastic and Reconstructive Surgery: March/April 2018 - Volume 34 - Issue 2 - p e52–e53
doi: 10.1097/IOP.0000000000001016
Case Reports
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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: anasua21@yahoo.com

© 2018 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.