13/11/2026
Surgery was advised. But should we operate before confirming the diagnosis? 👁️
In this patient, ocular cicatricial pemphigoid (OCP) was suspected—a potentially serious inflammatory condition that can cause progressive scarring of the conjunctiva and damage to the ocular surface.
Rather than proceeding directly to surgery, we decided to take a step back.
Our plan was to:
🔹 Investigate the suspected underlying condition
🔹 Assess the extent and activity of ocular-surface inflammation
🔹 Understand the risks and benefits of surgery in this particular eye
🔹 Decide on the next step based on the findings
In conditions such as suspected OCP, the underlying inflammation matters. Active disease can affect surgical planning, healing and outcomes, so careful evaluation is essential.
Sometimes, the most important decision is not which surgery to perform—but whether it is the right time to operate at all.
📍 Core Vision, Ahmedabad