Ghulam Rabbani Dahri.
Stevens-Johnson Syndrome.
Pak J Ophthalmol Jan ;15(3):121-3.

A 12-year-old child presented with a history of sudden onset of fever followed by erythematous bullous eruptions on the face, arms and feet. Hyperacute conjunctivitis with oedema of lids and severe stomatitis with difficulty in swallowing followed. Treatment with systemic and local steroids and antibiotics Improved the general condition but ocular condition deteriorated further with formation of symblepharon and corneal ulceration.

CASE REPORT: A 12-year-old male presented in April 1998 with forearms, feet and face. He had severe a Initial ophthalmic examination showed oedema of lids, scattered ulceration, chemosis and congestion of conjunctiva with serous discharge. The corneas were history of fever followed by maculopapular rashes with vesicles and bullae on the skin of hands, stomatitis with difficulty in swallowing. There was also hyperacute conjunctivitis. Because of his general condition the patient was referred to paediatric department of Peoples Medical College, Nawabshah, where he was admitted for about one week. During his stay in the hospital he was treated with systemic steroids and antibiotics. When his general condition improved he was transferred to the eye ward. slightly hazy. He was treated with ciloxan eye drops 1 hourly, Isoptoatropine 1% eye drops once a day, tobradex eye ointment 3 times a day, followed by sweeping of a glass rod in the fornices to prevent symblepharon formation. During his stay in the eye ward his systemic antibiotics and steroids were also continued. His general condition improved rapidly including his stomatitis but ocular condition deteriorated further with symblepharon formation, pseudomembranes and frank corneal ulcers. The patient left the eye department against medical advice and has not come back for follow-up.

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