Biopsie conjonctivale : une aide précieuse pour le diagnostic de sarcoïdose

[Cicatricial conjunctivitis]

Cicatricial conjunctivitis is chronic conjunctivitis with conjunctival fibrosis and may lead to alterations of conjunctival architecture, which are potentially sight-threatening. The patient's medical history, physical exam, and laboratory tests often provide the diagnosis of the underlying disease. Causes of conjunctival cicatrization are autoimmune diseases such as ocular cicatricial pemphigoid, thermal and chemical burns, postinfectious conjunctivitis, Stevens-Johnson syndrome, etc. Medical management varies according to specific causes and may lead to severe side effects. Furthermore, strategies may be necessary to restore corneal transparency and normal palpebral architecture.

An unusual case of recurrent subconjunctival haemorrhage causing yellow-brown discolouration due to haemosiderin deposition

The authors describe an unusual case of striking unilateral yellow-brown discolouration of the conjunctiva in a 33-year-old man. A biopsy from an elevated conjunctival area showed a brown pigmentation to be haemosiderin and haemogranulomatous inflammation most probably due to recurrent subconjunctival haemorrhage.