Dr.Chaitali Patel, P15174
Purpose: To describe the extent of visual and ocular morbidity in patients presenting with chronic ocular sequelae of Steven Johnsons syndrome (SJS). Methods: This was a prospective observational study that included 488 eyes of 244 post-SJS patients (142 adults and 102 children) who presented between 2013 and 2017 at a tertiary eye care center. Patients underwent a comprehensive ocular examination and standardized photo-documentation. Results: Most patients presented late (>1 year), without previous amniotic membrane grafting (>95%) and with severe degrees of ocular cicatricial changes (median grade >2). At presentation 131 (27%) eyes had good vision (20/20-20/70); 133 (27%) eyes had low vision (20/80-20/400) and 224 (46%) eyes were blind (<20/400). Conclusion: Visual and ocular morbidity due to chronic sequelae of SJS remains unacceptably high in all age groups. Better care during acute phase is warranted to prevent such outcomes.
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