Dr.Shilpa Tarini

Abstract

An 18 year old male who is a known case of Stevens-Johnson Syndrome came with complaints of progressive decreased vision in his right eye over a period of 5 years. His unaided vision was hand movements in right eye and 20/25 in left eye. 5 years ago he had undergone mucus membrane grafting for both lids in left eye and upper lid in right eye. Progressively he developed upper lid entropion for which an entropion correction along with mucus membrane grafting was done 1 year later. The lower lid of right eye continued to have progressive keratinization which increased in severity and extended onto the inferior ocular surface involving the visual axis of cornea. Considering the poor vision due to surface keratinization, it was decided to go for an excision of surface keratin followed by oral mucus membrane grafting and amniotic membrane overlay graft for the corneal epithelial defect. 1 month post surgery his unaided vision was 20/250 in his right eye. Further follow up is awaited.