This study was undertaken to evaluate the prevalence of KCS in children suffering from Juvenile Rheumatoid Arthritis JRA, and to determine its association with different disease parameters, 35 patients with JRA were included in our study, all subjected to full history taking clinical examination, laboratory and radiological investigations. The dryness of eye is detected using Schirmer test, Break-up test and fluorescein staining of the eye. 16 patients (45.7%) had positive RF, 9 patients (25.7%) had positive ANA. There was evidence of definite KCS in 16 patients (45.7%), 6 patients (17.1%) with probable KCS and 13 patients (37.1%) with no evidence of KCS. There was a statistically significant different found in patients with class III radiological changes (P=0.036), a statistically significant difference was found in patients with oligoarticular JRA and fluorescein staining test (P=0.011), also there was a statistically significant difference between BUT positive and negative cases, and a low back pain (P=0.042).Our results suggest that KCS is not an uncommon eye complication and JRA and patients should be screened for KCS to prevent its long-term sequelae.