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Article: A cross-sectional comparative study on chronic ocular manifestations of Stevens–Johnson syndrome and toxic epidermal necrolysis in Chinese eyes: a 15-year case series

TitleA cross-sectional comparative study on chronic ocular manifestations of Stevens–Johnson syndrome and toxic epidermal necrolysis in Chinese eyes: a 15-year case series
Authors
KeywordsOcular surface disease
Severe cutaneous adverse reactions
Stevens–Johnson syndrome
Toxic epidermal necrolysis
Asians
Issue Date2017
PublisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0165-5701
Citation
International Ophthalmology, 2017, v. 38 n. 3, p. 1155-1160 How to Cite?
AbstractPurpose: To compare the chronic ocular manifestations in Stevens–Johnson syndrome and toxic epidermal necrolysis patients from a 15-year cohort. Methods: All SJS and TEN patients admitted to our burn intensive care unit between 1999 and 2014 were invited for assessment. Slit-lamp examination was performed, and ocular condition was graded according to the Sotozono scoring System, which depended on the extent of cornea, conjunctiva and lid involvement. Tear osmolarity was also measured. Results: A total of 18 SJS and 4 TEN cases with an average of 92 and 135 months from disease onset were included. The average age of onset was 46.4 ± 16.6 in SJS and 43.5 ± 19.3 in TEN patients. The LogMAR visual acuity was 0.209 ± 0.591 in SJS and 0.489 ± 0.688 in TEN patients (p = 0.048). The average total Sotozono score was 3.75 ± 7.32 in SJS and 6.88 ± 9.49 in TEN (p = 0.358). Neither the age of onset (p = 0.787), length of follow-up (p = 0.256) nor disease type (SJS vs TEN, p = 0.188) predicted the Sotozono score. There was a statistically significant correlation between Sotozono score and LogMAR VA (r s = 0.437, p = 0.003). Conclusion: The average total Sotozono score was higher in the TEN group than in the SJS group, but the difference was not statistically significant. Nevertheless, the score correlated with the visual acuity which was statistically worse in the TEN group.
Persistent Identifierhttp://hdl.handle.net/10722/241530
ISSN
2021 Impact Factor: 2.029
2020 SCImago Journal Rankings: 0.716
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChow, LWL-
dc.contributor.authorNg, LKA-
dc.contributor.authorChow, SWS-
dc.contributor.authorChoy, NKB-
dc.contributor.authorShih, KC-
dc.contributor.authorWong, YHI-
dc.contributor.authorChan, CYJ-
dc.contributor.authorLai, JSM-
dc.date.accessioned2017-06-20T01:44:58Z-
dc.date.available2017-06-20T01:44:58Z-
dc.date.issued2017-
dc.identifier.citationInternational Ophthalmology, 2017, v. 38 n. 3, p. 1155-1160-
dc.identifier.issn0165-5701-
dc.identifier.urihttp://hdl.handle.net/10722/241530-
dc.description.abstractPurpose: To compare the chronic ocular manifestations in Stevens–Johnson syndrome and toxic epidermal necrolysis patients from a 15-year cohort. Methods: All SJS and TEN patients admitted to our burn intensive care unit between 1999 and 2014 were invited for assessment. Slit-lamp examination was performed, and ocular condition was graded according to the Sotozono scoring System, which depended on the extent of cornea, conjunctiva and lid involvement. Tear osmolarity was also measured. Results: A total of 18 SJS and 4 TEN cases with an average of 92 and 135 months from disease onset were included. The average age of onset was 46.4 ± 16.6 in SJS and 43.5 ± 19.3 in TEN patients. The LogMAR visual acuity was 0.209 ± 0.591 in SJS and 0.489 ± 0.688 in TEN patients (p = 0.048). The average total Sotozono score was 3.75 ± 7.32 in SJS and 6.88 ± 9.49 in TEN (p = 0.358). Neither the age of onset (p = 0.787), length of follow-up (p = 0.256) nor disease type (SJS vs TEN, p = 0.188) predicted the Sotozono score. There was a statistically significant correlation between Sotozono score and LogMAR VA (r s = 0.437, p = 0.003). Conclusion: The average total Sotozono score was higher in the TEN group than in the SJS group, but the difference was not statistically significant. Nevertheless, the score correlated with the visual acuity which was statistically worse in the TEN group.-
dc.languageeng-
dc.publisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0165-5701-
dc.relation.ispartofInternational Ophthalmology-
dc.subjectOcular surface disease-
dc.subjectSevere cutaneous adverse reactions-
dc.subjectStevens–Johnson syndrome-
dc.subjectToxic epidermal necrolysis-
dc.subjectAsians-
dc.titleA cross-sectional comparative study on chronic ocular manifestations of Stevens–Johnson syndrome and toxic epidermal necrolysis in Chinese eyes: a 15-year case series-
dc.typeArticle-
dc.identifier.emailChow, LWL: llwchow@hku.hk-
dc.identifier.emailNg, LKA: nlk008@hku.hk-
dc.identifier.emailChow, SWS: chowsws@hku.hk-
dc.identifier.emailChoy, NKB: bnkchoy@hku.hk-
dc.identifier.emailShih, KC: kcshih@hku.hk-
dc.identifier.emailWong, YHI: wongyhi@hku.hk-
dc.identifier.emailChan, CYJ: chanjc@hku.hk-
dc.identifier.emailLai, JSM: laism@hku.hk-
dc.identifier.authorityNg, LKA=rp01842-
dc.identifier.authorityChoy, NKB=rp01795-
dc.identifier.authorityShih, KC=rp01374-
dc.identifier.authorityWong, YHI=rp01467-
dc.identifier.authorityChan, CYJ=rp01737-
dc.identifier.authorityLai, JSM=rp00295-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s10792-017-0576-5-
dc.identifier.pmid28547534-
dc.identifier.scopuseid_2-s2.0-85019697029-
dc.identifier.hkuros272492-
dc.identifier.volume38-
dc.identifier.issue3-
dc.identifier.spage1155-
dc.identifier.epage1160-
dc.identifier.isiWOS:000434373500031-
dc.publisher.placeNetherlands-
dc.identifier.issnl0165-5701-

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