Dr. Rekha B. K. Mudhol, M11445, Dr. Mudhol. Rekha B. K, Dr. A. Vidhyadhar, Dr. Raikar Shreya, Dr. Sequeria Linda Maria GDP
INTRODUCTION: Stevens-Johnson syndrome is an immune complex mediated hypersensitivity that involves the skin and mucous membranes. Ocular manifestations include mild to severe involvement of conjunctiva, cornea and eyelids.
CASE REPORT: A 21-years-male, with past history of drug induced Stevens-Johnson syndrome, presented with redness and painless diminution of vision for 1 month. Slit lamp examination revealed trichiasis, vascularization and conjunctivalization of cornea. His visual acuity was 6/60 (right eye) and CFCF (left eye). He was treated with lubricants, antibiotic eye drops, lid massage and epilation. Patient underwent buccal mucus membrane grafting of conjunctiva. At 1 month follow up he has significant improvement of ocular complaints and his visual acuity was 6/24 in both eyes.
CONCLUSION: Along with medications, close monitoring and timely mucosal grafting will improve visual outcome and prevent further complications in Stevens-Johnson syndrome.