Cataract surgery in Stevens-Johnson syndrome

J Cataract Refract Surg. 2005 Apr;31(4):860-2. doi: 10.1016/j.jcrs.2004.07.023.

Abstract

Cataract surgery can be safely performed in patients with Stevens-Johnson syndrome (SJS) with visually significant cataracts. Maintaining ocular surface integrity improves the prognosis of cataract surgery in this high-risk population. We present the outcome of cataract surgery in a retrospective chart review of 3 eyes in 2 patients with SJS. Uneventful extracapsular cataract extraction with intraocular lens implantation was performed. Follow-up ranged from 3 to 24 months. The visual acuity and ocular surface integrity were reviewed. The preoperative visual acuity was counting fingers at 1 meter in all 3 eyes. The best corrected visual acuity (BCVA) improved to 20/40 in 2 eyes and 20/50 in 1 eye postoperatively. A drop in BCVA ranging from 20/100 to 20/200 was noted during follow-up.

Publication types

  • Case Reports

MeSH terms

  • Cataract Extraction*
  • Conjunctival Diseases / complications*
  • Dry Eye Syndromes / complications
  • Dry Eye Syndromes / therapy
  • Humans
  • Lens Implantation, Intraocular*
  • Retrospective Studies
  • Stevens-Johnson Syndrome / complications*
  • Visual Acuity