Association of ligneous conjunctivitis with congenital hydrocephaly: A case report

Purpose: To report an association of ligneous conjunctivitis (LC) and congenital hydrocephalus Case report: The patient was a 3.5-year-old boy with a history of long standing conjunctivitis with copious ocular discharge and photophobia, waxing and waning for some time. He also had suffered from occlusive congenital hydrocephalus that required placement of a ventriculoperitoneal shunt. Conjunctivitis did not respond to topical medications and recurred after several excisions. Finally an intralesional methylprednisolone injection was performed. Significant resolution of the lesions was observed after one week and after one year, LC was relatively controlled and there was no need for more excisions. Conclusion: In patients with recurrent recalcitrant pseudomembrane, this treatment shortens the treatment period, evokes rapid visual rehabilitation and obviates the need for the future excisions. Also, this report reemphasizes the association of LC and congenital hydrocephalus, which maybe ignored.