Corneal ectasia with Stevens–Johnson syndrome

Corneal ectasia and Stevens–Johnson syndrome (SJS) are uncommon ocular conditions,1 both of which can be managed with scleral contact lenses to improve visual acuity, provide constant corneal lubrication, and decrease photophobia. Very few reports of co-existing keratoconus and SJS have been published. Rathi et al.2 described three cases (14–25-year-old males) with drug-induced SJS who developed keratoconus between two and seven years after the onset of SJS. They demonstrated a significant improvement in visual acuity and decrease in photophobia and ocular symptoms with full-time scleral lens wear. Saaed et al.3 described nine cases of keratoconus that developed on average 10 years after the onset of SJS and were successfully managed with scleral lenses. This clinical communication highlights the use of scleral lenses in the management of co-existing keratoconus and SJS.