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Year : 2015  |  Volume : 5  |  Issue : 2  |  Page : 96-98

Stevens–Johnson syndrome following cataract surgery

1 Department of Ophthalmology, Chang Gung Memorial Hospital, Chia-Yi; College of Medicine, Chang Gung University, Kwei Shan, Tao-Yuan, Taiwan
2 College of Medicine, Chang Gung University, Kwei Shan, Tao-Yuan, Taiwan
3 Ai-Lin Clinic, San-Shia Area, Taipei, Taiwan

Correspondence Address:
Li-Ju Lai
Department of Ophthalmology, Chang Gang Memorial Hospital, Number 6, West section, Chia-Puz Road, Puzi City, Chiayi County 61363
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Source of Support: None, Conflict of Interest: None

DOI: 10.1016/j.tjo.2014.05.005

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A case of Stevens–Johnson syndrome in a healthy 58-year-old woman who underwent cataract surgery under topical anesthesia is reported. General skin erosions developed 2 hours after surgery. The patient’s family doctor diagnosed that she was allergic to seafood. One month later, she underwent phacoemul-sification surgery in the other eye. After surgery, she developed Stevens–Johnson syndrome with general skin lesions, erythema nodosa, genital mucosa erosion, oral ulcers, gastritis, and conjunctiva edema. The symptoms subsided 2 weeks later after immunotherapy. Although nonpreserved anesthesia (2% lido-caine) has seldom been reported to cause allergic reactions via the intravenous or the intramuscular route, it is possible that an intracameral injection of 0.2% lidocaine during cataract surgery can induce Stevens–Johnson syndrome. Careful evaluation of the patient’s history and proper treatment were recommended to prevent additional complications.

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