The Therapeutic Effect of Sclerocorneal Lens in Coexisting Corneal Ectasia and Stevens-Johnson Syndrome
10.3341/jkos.2018.59.10.968
- Author:
Jin Uk BAEK
1
;
Chang Hyun PARK
;
Kyung Sun NA
;
Hyun Seung KIM
Author Information
1. Department of Ophthalmology and Visual Science, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. sara514@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Contact lenses;
Miniscleral contact lens;
Pathologic dilatation;
Stevens-Johnson syndrome
- MeSH:
Cataract;
Contact Lenses;
Corneal Neovascularization;
Dilatation, Pathologic;
Eye Pain;
Female;
Fibrosis;
Humans;
Keratoconus;
Middle Aged;
Ophthalmic Solutions;
Stevens-Johnson Syndrome;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2018;59(10):968-973
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report short-term treatment effects of a mini-scleral lens in patients with Stevens-Johnson syndrome and corneal ectasia. CASE SUMMARY: A 54-year-old female who had been diagnosed with Stevens-Johnson syndrome and keratoconus presented with persistent right eye pain and decreased visual acuity. Therapeutic lenses, topical antibiotic eye drops, and topical steroid eye drops were used; however the symptoms were not controlled, then the patient was treated with a mini-scleral contact lens in the right eye. At the time of the first visit to our hospital 17 years ago, and the best-corrected visual acuity (BCVA) of the right eye was logMAR 0.22. However, Stevens-Johnson syndrome and corneal ectasia were severe and cataract surgery was considered because of worsening cataracts, but the patients refused this surgery. At the time, the BCVA of the right eye was then reduced to logMAR 1.10. On ophthalmic examination, there was conjunctival fibrosis and corneal neovascularization of the right eye. The symptoms were not managed with a using a therapeutic lens, and then the patient was prescribed a mini-scleral contact lens. After wearing the mini-scleral contact lens, the corneal and conjunctival neovascularization was reduced. After 6 months, the BCVA of the right eye improved to logMAR 0.60. CONCLUSIONS: In patients with Stevens-Johnson syndrome and corneal ecstasia, mini-scleral contact lens can be considered as a useful treatment option for visual improvement and symptom control.
