Bilateral panophthalmitis following toxic epidermal necrolysis: A case report

• Main Author: Sharad Haribhau Shegaonkar
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: panophthalmitis; steven johnson syndrome; toxic epidermal necrolysis
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=3;spage=538;epage=540;aulast=Shegaonkar

A 70 year old man presented with systemic signs of toxic epidermal necrolysis (TEN) following consumption of diclofenac tablets for a prodromal illness a week back. Ophthalmic evaluation showed no perception of light in both eyes along with lid edema, total corneal sloughing, and pus-filled anterior chamber. An amniotic membrane transplant was planned but within a few hours, both eyes developed panophthalmitis with restricted extraocular movements and mild proptosis and had to be eviscerated. This is perhaps the first case showing such devastating sequelae of TEN.