@optomworld: Case Summary A 16-year-old male, a known case of Xeroderma Pigmentosum (XP), presented to the ophthalmology OPD with complaints of severe photophobia and excessive watering from both eyes. On slit-lamp examination, the patient had severe ocular surface involvement with clinical findings suggestive of xerophthalmia with keratomalacia, complicated by secondary infective keratitis. This case highlights the potentially blinding ocular complications associated with Xeroderma Pigmentosum and emphasizes the importance of early diagnosis, regular ophthalmic follow-up, and timely management to preserve vision. #xeroderma #xerophthalmia #cornealulcer