title: Spontaneous bilateral corneal perforation in stevens- johnsons syndrome-a challenge in management.
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.
authors.affiliation: Department of Ophthalmology, Pusat Perubatan Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: Umi Kalthum
authors.initials: UK
authors.lastname: Md Noh
authors.forename: Kong Yong
authors.initials: KY
authors.lastname: Then
keywords: Stevens-Johnson syndrome; corneal perforation; epithelial defect; graft dehiscence; penetrating keratoplasty