In Stevens-Johnson syndrome, the mucosal involvement is a defining feature. The conjunctival complication most feared for long-term visual morbidity is:
- A Symblepharon and cicatricial conjunctivitis ✓
- B Episcleritis
- C Corneal arcus
- D Central serous retinopathy
Explanation
Symblepharon (adhesion between bulbar and palpebral conjunctiva) and cicatricial conjunctivitis are the major chronic ocular sequelae of SJS. The acute phase involves pseudomembrane formation; without aggressive eye care (lubricants, topical steroids, sweeping of fornices) symblepharon develops and may lead to corneal scarring and blindness. Episcleritis is not a feature; corneal arcus is age-related; central serous retinopathy is steroid-related.
Reference: Neena Khanna Illustrated Synopsis of Dermatology & STD, 6th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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