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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 20, No. 1, 2013, pp. 84-87
Bioline Code: mj13012
Full paper language: English
Document type: Case Report
Document available free of charge

Malaysian Journal of Medical Sciences, Vol. 20, No. 1, 2013, pp. 84-87

 en Spontaneous Bilateral Corneal Perforation in Stevens- Johnsons Syndrome–A Challenge in Management
Noh, Umi Kalthum Md & Then, Kong Yong

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.

Keywords
corneal perforation, epithelial defect, graft dehiscence, Stevens-Johnson syndrome, penetrating keratoplasty

 
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Alternative site location: http://www.medic.usm.my/publication/mjms/

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