Dual benefits of scleral lenses in collateral cases of Stevens-Johnson syndrome and Keratoconus-A case series

Abstract

Scleral lenses (SL) are larger diameter lenses that rest over the scleral, unlike the corneal lenses. These lenses are fitted to not touch the cornea by creating a space that will be filled with sterile isotonic fluid. Indications of SL include corneal ectatic conditions such as keratoconus (KC), pellucid marginal degeneration,and ocular surface disorders such as dry eye (DE), Stevens-Johnson syndrome (SJS), and graft-versus-host disease. Corneal ectasia in SJS has been rarely reported but still exists, which causes severe DE, photophobia, and blurred vision. In such a scenario, SL is an ideal treatment option as they provide constant lubrication to the ocular surface and better visual acuity. This report witnessed the effectiveness of SL in SJS associated with KC – a rare combination.