Figure 5.

Clinical presentations of other rare causes of chronic cicatrizing conjunctivitis (CCC). These include bullous pemphigoid, which presents with exuberant granulation tissue and large conjunctival granulomas on the tarsus (a), bulbar (b), and forniceal conjunctiva (c). Linear IgA disease, which also presents with flat tarsal granulomas (d). Pagetoid variant of sebaceous gland carcinoma which shows keratinization and irregularity of the lid-margin and tarsal conjunctiva (e) and can also develop punctal fibrosis with the use of topical antimetabolite therapy (f)