NR 6/2003
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Powikłania oczne u dzieci i młodzieży w ciężkich
postaciach zespołu Stevensa-Johnsona
Ocular complications in children with Stevens-Johnson
syndrome
Anna Gotz-Więckowska, Jadwiga Bernardczyk-Meller, Piotr Rakowicz
Z Katedry i Kliniki Okulistyki Akademii Medycznej im K. Marcinkowskiego w Poznaniu
Kierownik: prof. dr hab. n. med. Krystyna Pecold |
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| Summary: |
Purpose: Presentation of serious cases of Stevens-Johnson
syndrome (SJS) with acute and chronic ocular manifestations and methods of their
treatment.
Material and methods: 3 children aged between 6 to 12 years. Follow-up time was from 5
months up to 6 years. Conservative treatment was: symblepharon massage, topical
antibiotics, steroids, artificial tears. In chronic stage mitomycin C as eye drops was use
in one case. Surgical treatment - intubation of lacrimal ducts and removal of eye lashes
were performed in 2 cases.
Results: In 2 cases, in which ophthalmological therapy was introduced very early, the
results of treatment were very good. In one case with corneal neovascularization and
posterior lid margin keratinization, the results of treatment were not satisfactory.
Conclusions: 1. The children with SJS should be treated by ophthalmologists as soon as
possible. 2. Some pathological changes of conjunctiva, cornea and lacrimal ducts
disapperared after few weeks of intensive topical therapy often. 3. The results of
treatment of cicatrical changes of lids, conjunctiva and neovascularization of the cornea
were not satisfactory. |
| Słowa kluczowe: |
zespół Stevensa-Jonhsona, rumień wielopostaciowy,
keratopatia, suche oko, deformacje brzegu powiek. |
| Key words: |
Stevens-Johnson syndrome (SJS), erythema multiforme,
keratopathia, dry eye, deformation of lid's margin. |
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