Ocular cicatrical pemphigoid is a chronic, progressive, auto-immune disease characterised by shrinkage of the conjunctiva, entropion, trichiasis, xerosis and, finally, reduced vision from corneal opacification. The long-term prognosis ia always very poor, although systematic immunosuppressive chemotherapy, topical retinoids and contact lens wear are beneficial. Various types of contact lenses are useful in managing this disease. In the case described, an RGP lens was used to improve vision, surface wetting and the physiological and visual prognosis.

Key words: ocular cicatrical pemphigoid, auto-immunity, xerosis, corneal wetting, RGP lens, irregular astigmatism

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