Outcome of vigilant management of early

Steven Johnsons Syndrome (SJS) is an important cause of ocular morbidity. We present a series of 14 SJS patients who presented to our institution in the acute phase. All patients with the diagnosis of SJS over last 2 years 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 threatening sequlae. Mild sequlae included - one patient had ankyloblepharon and punctual stenosis, another had inferior corneal opacity, mild dry eye was seen in 11 cases. This study lays emphasis on the importance of early aggressive management in preventing and reducing the severity of sight threatening sequlae of SJS. ORIGINAL ARTICLE