Stevens-Johnson Syndrome Guidelines

Updated: Dec 15, 2016
  • Author: C Stephen Foster, MD, FACS, FACR, FAAO, FARVO; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Guidelines

UK Guidelines for the Management of Stevens-Johnson Syndrome

UK Guidelines for the Management of Stevens–Johnson syndrome, published in 2016, suggest the following for treatment of eye involvement: [51]

  • During the acute period, daily review by an ophthalmologist is necessary.
  • Ocular lubricant should be applied every two hours during the acute phase.
  • Daily ocular hygiene should be performed by an ophthalmologist or nurse trained in ophthalmology.
  • Ocular surface damage may be reduced with application of a topical corticosteroid drop.
  • Prophylactic therapy with a broad-spectrum topical antibiotic should be administered in the setting of corneal fluorescein staining or frank ulceration.
  • In unconscious patients, corneal exposure must be prevented.