Conjunctival diverticuli in Stevens-Johnson syndrome

Area of Science:

• Ophthalmology
• Dermatology

Background:

• Stevens-Johnson syndrome (SJS) is a severe mucocutaneous reaction.
• Ocular complications of SJS can include severe conjunctival scarring.

Observation:

• A 75-year-old female patient with a history of SJS presented with chronic, bilateral, relapsing purulent conjunctivitis.
• The condition was found to be secondary to inferior conjunctival diverticuli.

Findings:

• Conjunctival scarring from SJS can lead to sequestration of conjunctival epithelium.
• This sequestration can result in the formation of conjunctival diverticuli, causing chronic discharge.

Implications:

• Conjunctival diverticuli should be considered in the differential diagnosis of chronic purulent conjunctivitis in SJS patients.
• Surgical marsupialization of diverticuli can effectively resolve symptoms.