Table 1. Clinical characteristics of chronic graft versus host disease patients with corneal perforation.
Case number | Case 1 | Case 2 | Case 3 | Case 4 |
---|---|---|---|---|
Age (Years), sex |
62, M |
21, M |
70, M |
56, F |
Underlying disease |
AML (M4) |
AML (M0) |
AML (M4) |
CML |
Type of treatment |
Allo-PBSCT |
mini BMT |
Allo-PBSCT |
mini BMT |
Onset of dry eye (month) |
6 |
4 |
4 |
N.A. |
Onset of corneal perforation (month) |
17 |
20 |
30 |
8 |
Schirmer Test (mm) |
1 |
0 |
4 |
10 |
Fluorescein Score (9 points) |
9 |
9 |
3 |
3 |
MGD score (3 points) |
Unknown |
3 |
3 |
Unknown |
External bacterial flora culture |
MRSA |
Trichosporon spp. |
MRSA |
negative |
Entropion |
− |
+ |
+ |
− |
Corneal neovascularization |
− |
+ |
+ |
− |
Topical drops (corticosteroid) |
+ (1 day)* |
+ (5 years)** |
+ (3 weeks)*** |
− |
Topical drops (NSAIDS) |
− |
− |
+ (3 weeks)§ |
+ (4 months)¶ |
Oral corticosteroids (PSL) | + (3 months) | + (15 mg) (6 months) | + (10 mg) (> 2 years) | + (> 20 mg) (2 months) |
AML, acute myeloid leukemia; CML, chronic myeloid leukemia; allo-PBSCT, allogeneic peripheral blood stem cell transplantation; MGD, meibomian gland dysfunction; MRSA, methicillin-resistant Staphylococcus aureus; mini BMT, mini bone marrow transplantation, reduced intensity of conditioning regimen for hematopoietic stem cell transplantation; NSAIDS, non-steroidal anti-inflammatory drugs; *, dexamethasone sodium phosphate; **, 0.02% fluorometholone; ***, 0.1% fluorometholone; §, dicrofenac sodium;¶, bromfenac sodium, Topical corticosteroids were used 4 times per day; Topical NSAIDS were used 2 times per day. The dose (per day) and duration of oral corticosteroid were shown in the table. PSL, predonisolone; mo, months.