Special Care in Lichen Planus Patients Undergoing LASIK: A Review Article
Medical hypothesis discovery and innovation in ophthalmology,
Vol. 8 No. 3 (2019),
20 September 2019
,
Page 134-138
Abstract
Laser-Assisted in Situ Keratomileusis (LASIK) is a common surgery for the correction of refractive errors. The majority of patients who undergo this procedure often have excellent results. However, uncontrolled autoimmune disorders and dry eye have both been listed as contraindications to this surgery. Lichen planus (LP) is an autoimmune, inflammatory disorder that characteristically affects mucocutaneous membranes. The etiology is unknown, but it most commonly affects middle-aged adults and presents with bilateral, purple papules. Clinical presentation is used to diagnose the condition, and a punch biopsy is confirmatory. LP may present with multiple different symptoms depending on the type, with ocular manifestations being rare. Multiple viruses and autoimmune conditions have been associated with the disorder, and physicians should take care when gathering a full history of the patient. Exacerbation of symptoms may happen if mood disorders such as depression and anxiety are not well controlled. There are several additional factors physicians must carefully consider before recommending LASIK to patients with LP. These include lichenoid reactions, current medications, and past or present ocular lesions. LASIK may be carefully considered in patients with well-controlled LP in the absence of ocular manifestations. Patients with ocular LP are not candidates for LASIK.
References
Sandoval HP, Donnenfeld ED, Kohnen T, Lindstrom RL, Potvin R, Tremblay DM, et al. Modern laser in situ keratomileusis outcomes. J Cataract Refract Surg. 2016;42(8):1224-34. doi: 10.1016/j.jcrs.2016.07.012 pmid: 27531300
Bower KS, Woreta F. Update on contraindications for laser-assisted in situ keratomileusis and photorefractive keratectomy. Curr Opin Ophthalmol. 2014;25(4):251-7. doi: 10.1097/ICU.0000000000000055 pmid: 24837576
Mohebbi M, Mirghorbani M, Banafshe Afshan A, Towfighi M. Lichen Planus in Ocular Surface: Major Presentations and Treatments. Ocul Immunol Inflamm. 2019;27(6):987-94. doi: 10.1080/09273948.2018.1485955 pmid: 29985678
Gorouhi F, Davari P, Fazel N. Cutaneous and mucosal lichen planus: a comprehensive review of clinical subtypes, risk factors, diagnosis, and prognosis. ScientificWorldJournal. 2014;2014:742826. doi: 10.1155/2014/742826 pmid: 24672362
Katta R. Lichen Planus. Am Fam Physician. 2000;61(11):3319-24.
Bermejo-Fenoll A, Lopez-Jornet P. Familial oral lichen planus: presentation of six families. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(2):e12-5. doi: 10.1016/j.tripleo.2006.03.016 pmid: 16876038
Ichimura M, Hiratsuka K, Ogura N, Utsunomiya T, Sakamaki H, Kondoh T, et al. Expression profile of chemokines and chemokine receptors in epithelial cell layers of oral lichen planus. J Oral Pathol Med. 2006;35(3):167-74. doi: 10.1111/j.1600-0714.2006.00402.x pmid: 16454813
Nagao K, Chen KR. A case of lupus erythematosus/lichen planus overlap syndrome. J Dermatol. 2006;33(3):187-90. doi: 10.1111/j.1346-8138.2006.00043.x pmid: 16620224
Sand LP, Jalouli J, Larsson PA, Hirsch JM. Prevalence of Epstein-Barr virus in oral squamous cell carcinoma, oral lichen planus, and normal oral mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(5):586-92. doi: 10.1067/MOE.2002.124462 pmid: 12075209
Gorsky M, Epstein JB. Oral lichen planus: malignant transformation and human papilloma virus: a review of potential clinical implications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111(4):461-4. doi: 10.1016/j.tripleo.2010.11.007 pmid: 21330164
Tsuboi H, Katsuoka K. Ulcerative lichen planus associated with Sjogren's syndrome. J Dermatol. 2007;34(2):131-4. doi: 10.1111/j.1346-8138.2006.00232.x pmid: 17239152
Pakravan M, Klesert TR, Akpek EK. Isolated lichen planus of the conjunctiva. Br J Ophthalmol. 2006;90(10):1325-6. doi: 10.1136/bjo.2006.096263 pmid: 16980648
Sanli B, Cetin EN, Bir F, Tasli L, Yaldizkaya F, Yaylali V. Conjunctival impression cytology, ocular surface and tear-film changes in patients with lichen planus. Clin Exp Dermatol. 2012;37(4):341-5. doi: 10.1111/j.1365-2230.2011.04274.x pmid: 22300330
McNab AA. Lacrimal canalicular obstruction in lichen planus. Orbit. 1998;17(3):201-2. doi: 10.1076/orbi.17.3.201.2744 pmid: 12048729
Rhee MK, Mootha VV. Bilateral keratoconjunctivitis associated with lichen planus. Cornea. 2004;23(1):100-5. pmid: 14701968
Cribier B, Frances C, Chosidow O. Treatment of Lichen Planus. Archives of Dermatology. 1998;134(12):1521-30. doi: 10.1001/archderm.134.12.1521
Katz HI, Waalen J, Leach EE. Acitretin in psoriasis: an overview of adverse effects. J Am Acad Dermatol. 1999;41(3 Pt 2):S7-S12. doi: 10.1016/s0190-9622(99)70359-2 pmid: 10459140
Fraunfelder FW. Corneal toxicity from topical ocular and systemic medications. Cornea. 2006;25(10):1133-8. doi: 10.1097/01.ico.0000240084.27663.fd pmid: 17172885
Li S, Kim YH, Li W, Lin MC, Radke CJ. Human Lacrimal Production Rates from Modified Schirmer-Tear Test. Optom Vis Sci. 2018;95(4):343-8. doi: 10.1097/OPX.0000000000001196 pmid: 29561502
Thongprasom K, Dhanuthai K. Steriods in the treatment of lichen planus: a review. J Oral Sci. 2008;50(4):377-85. doi: 10.2334/josnusd.50.377 pmid: 19106464
Wang AS, Armstrong EJ, Armstrong AW. Corticosteroids and wound healing: clinical considerations in the perioperative period. Am J Surg. 2013;206(3):410-7. doi: 10.1016/j.amjsurg.2012.11.018 pmid: 23759697
Zhang J, Zhou G, Du GF, Xu XY, Zhou HM. Biologics, an alternative therapeutic approach for oral lichen planus. J Oral Pathol Med. 2011;40(7):521-4. doi: 10.1111/j.1600-0714.2011.01029.x pmid: 21463368
Thandar Y, Maharajh R, Haffejee F, Mosam A. Treatment of cutaneous lichen planus (part 2): a review of systemic therapies. J Dermatolog Treat. 2019;30(7):633-47. doi: 10.1080/09546634.2018.1544411 pmid: 30451042
Bernauer W, Schuler S, Borradori L. Rituximab and bilateral HSV epithelial keratitis in a patient with mucous membrane pemphigoid. J Ophthalmic Inflamm Infect. 2018;8(1):12. doi: 10.1186/s12348-018-0153-8 pmid: 30141181
Soleimani M, Tabatabaei SA, Mirshahi R, Nozarian Z, Matini AH. Corneal Involvement by Lichen Planus Pigmentosus. Ocul Immunol Inflamm. 2018;26(6):897-9. doi: 10.1080/09273948.2017.1279639 pmid: 28146367
Disorders. NOfR. Lichen Planus 2019 [cited 2019 May 23]. Available from: https://rarediseases.org/rare-diseases/lichen-planus/.
Nussenblatt R. Philosophy, goals, and approaches to medical therapy. In: Nussenblatt R, Whitcup S, editors. Uveitis, Fundamentals and Clinical Practice. 4th ed. Philadelphia, PA: Mosby; 2010. p. 88-92.
Dhal U, Raju S, Singh AD, Mehta AC. "For your eyes only": ophthalmic complications following lung transplantation. J Thorac Dis. 2018;10(11):6285-97. doi: 10.21037/jtd.2018.09.156 pmid: 30622804
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