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No teeth, no nails and not enough tears
  1. Allie Lee1,2,
  2. Victoria W Y Wong1,2
  1. 1Hong Kong Eye Hospital, Hong Kong SAR, Hong Kong
  2. 2Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, Hong Kong
  1. Correspondence to Dr Allie Lee, Hong Kong Eye Hospital, 147k Argyle Street, Mongkok, Kowloon, Hong Kong SAR, Hong Kong; allieleehk{at}gmail.com

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Introduction

Ectodermal dysplasia (ED) is a group of disorders that primarily affect the development of teeth, nails, hair and sweat glands. Ocular involvement is common and can be vision threatening. Prompt recognition of this condition is important for effective patient management.

Case history

A 31-year-old woman presented with progressive worsening vision and foreign body sensation in both eyes for 3 years. Her best corrected visual acuity was 0.7 in the right eye and 0.1 in the left eye. Ophthalmic examination showed bilateral corneal scarring, superficial vascularisation and unstable tear films, with the left eye more severely involved (figure 1).

Figure 1

Slit-lamp photograph of the …

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