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

SARAVANA SANKAR V.PANDIARAJ

Abstract


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 ome ,
symblepharon,ankyloblepharon.


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