Ocular cicatricial pemphigoid (OCP) is considered to be a subtype of Mucous Membrane Pemphigoid (MMP). OCP is a type of autoimmune conjunctivitis that leads to scarring of the conjunctiva. Untreated OCP can lead to irreversible ophthalmic damage, to the point of blindness. In this article, we will discuss the case of a patient who has been under follow-up for over a decade at a corneal clinic due to OCP disease and as a result underwent various treatments. Prior to that, a short literature review will be presented on the subject including the etiology, pathophysiology, epidemiology, presentation, diagnosis, differential diagnosis, treatments available and complications that may occur during follow-up.