Stevens–Johnson syndrome following cataract surgery

Publication date: Available online 28 July 2014 Source:Taiwan Journal of Ophthalmology Author(s): Shin-Hua Wu , Jen-Hsiang Shen , Wei-Hsiu Hsu , Chin-Wen Lin , Li-Ju Lai 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 phacoemulsification 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% lidocaine) 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.
Source: Taiwan Journal of Ophthalmology - Category: Opthalmology Source Type: research