Lente de contato escleral na reabilitação ocular de pacientes com síndrome de Stevens-Johnson

• Autor(a) principal: Siqueira, Ana Carolina Punzi de [UNIFESP]
• Data de Publicação: 2010
• Outros Autores: Santos, Myrna Serapião dos [UNIFESP], Farias, Charles Costa de [UNIFESP], Barreiro, Telma Regina Maria Pereira [UNIFESP], Gomes, José Álvaro Pereira [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492010000500008; http://repositorio.unifesp.br/handle/11600/5995
• topic: Contact lenses; Sclera; Dry eye; Stevens-Johnson syndrome; Lente de contato; Esclera; Olho seco; Síndrome de Stevens-Johnson

PURPOSE: 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.