title: [Scleral contact lens for ocular rehabilitation in patients with Stevens-Johnson syndrome].
abstract: OBJECTIVE
  To evaluate the efficacy of scleral contact lenses use on the management of ocular sequelae from Stevens-Johnson syndrome patients.
  
  
  METHODS
  In a retrospective study, patients who suffered sequelae of Stevens-Johnson syndrome and started the use of scleral contact lenses were followed. Patients were submitted to an evaluation of symptoms through a questionnaire; ophthalmologic exam (visual acuity measurement, biomicroscopy, ocular surface staining with fluorescein drops, Schirmer test).
  
  
  RESULTS
  Ten eyes of seven patients were analyzed. Visual acuity varied from hand movements to 20/25. All patients presented some degree of corneal opacity and slight symblepharon. In patients whose adaptation to scleral contact lenses was successful (90%), they all refered improvement of symptoms and sight. As for the biomicroscopic findings it was observed an improvement of conjunctival hyperemia and keratitis and a reduction of the mucous secretion in 90% the cases.
  
  
  CONCLUSIONS
  A successful adaptation to scleral contact lenses was feasible on most patients, with relief of symptoms and better visual acuity, probably due to regularization of the surface. Scleral contact lenses represent an important and accessible alternative to reduce the limitations inferred by the damages from Stevens-Johnson syndrome.
authors.affiliation: Departamento de Oftalmologia, Instituto da Visão, Universidade Federal de São Paulo, SP, Brasil. anacarolinapunzi@yahoo.com.br
authors.forename: Ana Carolina Punzi de
authors.initials: AC
authors.lastname: Siqueira
authors.forename: Myrna Serapião dos
authors.initials: MS
authors.lastname: Santos
authors.forename: Charles Costa de
authors.initials: CC
authors.lastname: Farias
authors.forename: Telma Regina Maria Pereira
authors.initials: TR
authors.lastname: Barreiro
authors.forename: José Álvaro Pereira
authors.initials: JÁ
authors.lastname: Gomes
mesh_terms: D003261:Contact Lenses / Q000009:adverse effects*; D015352:Dry Eye Syndromes / Q000209:etiology / Q000473:pathology / Q000534:rehabilitation*; D005141:Eyelid Diseases / Q000209:etiology / Q000473:pathology / Q000534:rehabilitation*; D006801:Humans; D012189:Retrospective Studies; D012590:Sclera; D013262:Stevens-Johnson Syndrome / Q000150:complications*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology