Contact lens management of a case of Stevens-Johnson syndrome: a case report.
BACKGROUND
Stevens-Johnson syndrome (SJS) is an extreme, systemic allergic reaction with potentially morbid ocular complications. The main ocular complications include severe dry eyes, corneal scarring, symblepharon, and keratopathy.


METHODS
Stevens-Johnson syndrome developed in a 69-year old man as a result of a hypersensitivity reaction to the drug allopurinol three years before his referral to our clinic. He had been treated, but was left with corneal scarring, hyperemia, and sore, chronic dry eyes, which necessitated continuous lubrication. The patient was fit with RGP sealed scleral contact lenses of high oxygen permeability, which produced a remarkable improvement of his signs and symptoms and allowed him to completely cease the use of artificial tears.


CONCLUSIONS
Stevens-Johnson syndrome is a serious systemic condition in which the foremost ocular complication is severe dry eyes. This report shows that it can be managed successfully with RGP sealed scleral lenses of high permeability.
Fine
Philip
P
Department of Optometry, Hadassah College of Technology, Jerusalem, Israel.
Savrinski
Boris
B
Millodot
Michel
M
D000368:Aged; D000493:Allopurinol / Q000009:adverse effects; D003261:Contact Lenses; D004342:Drug Hypersensitivity / Q000209:etiology; D015352:Dry Eye Syndromes / Q000139:chemically induced / Q000628:therapy*; D004791:Enzyme Inhibitors / Q000009:adverse effects; D006074:Gout Suppressants / Q000009:adverse effects; D006801:Humans; D008297:Male; D017755:Prosthesis Fitting; D013262:Stevens-Johnson Syndrome / Q000139:chemically induced / Q000628:therapy*
D004791:Enzyme Inhibitors; D006074:Gout Suppressants; D000493:Allopurinol