Spontaneous Bilateral Corneal Perforation in Stevens- Johnsons Syndrome–A Challenge in Management
- Author:
Umi Kalthum Md Noh
;
Kong Yong Then
- Publication Type:Case Reports
- Keywords:
corneal perforation, epithelial defect, graft dehiscence, Stevens-Johnson syndrome, penetrating keratoplasty
- From:Malaysian Journal of Medical Sciences
2013;20(1):83-86
- CountryMalaysia
- Language:English
-
Abstract:
A 42-year-old man from Ghana presented with bilateral painful corneal perforations following ingestion of a sulphur-based antibiotic. Emergency bilateral penetrating keratoplasty was performed, with restoration of globe integrity. However, surgical complications arose such as non-healing epithelial defect, secondary infection, graft dehiscence, and mounting intraocular pressure. This case illustrates the challenges faced in managing corneal grafts in patients with already compromised ocular surfaces.
