VIGILANT TREATMENT AND EARLY INTERVENTION OF OCULAR MANIFESTATIONS OF STEVEN JOHNSON SYNDROME

Abstract : Abstract Steven Johnsons Syndrome SJS is an important cause of ocular morbidity. We present a series of 9 SJS patients who presented to our institution in the acute phase. All patients with the diagnosis of SJS over last 1 year were included. Possible etiologic factors, various ocular manifestations in acute phase is discussed. Early aggressive management included separating the lids frequently, cleaning the discharge, glass rod sweeping along the fornices and voluntarily moving the eyes. This prevented formation of symblepharon, ankyloblepharon and other sequlae. All patients recovered without any sight threateningsequlae. Mild sequlae included - one patient had ankyloblepharon and punctual stenosis, another had inferior corneal opacity, mild dry eye was seen in 9 cases.This study lays emphasis on the importance of early aggressive management in preventing and reducing the severity of sight threatening sequlae of SJS. Keyword : S t e v e n j o h n s o n s y n d r o m e , symblepharon,ankyloblepharon.