Table 4.
Patient | Age (years) | Sex | Indication for surgery | Histopathology | Duration of follow-up (months) | Clinical outcome |
19 | 80 | Female | Systemic lupus erythematosus with secondary Sjögren’s syndrome. | Acute inflammation and necrosis, no e/o infection. | 96 | Never epithelialised, graft melted <1 month. Underwent several subsequent tectonic PKs—all melted. Eventually cornea epithelialised, scarred and vascularised after achieving adequate immunosuppression. |
20 | 81 | Female | Rheumatoid arthritis. | Acute inflammation and necrosis, no e/o infection. | 53 | Graft intact and epithelialised, but developed other intraocular complications due to retinal surgery. Eventually eye became phthisical. |
21 | 32 | Male | Sterile keratolysis with unknown aetiology. | Acute inflammation and necrosis, no e/o infection. | 36 | Graft initially intact with under Gunderson conjunctival flap done simultaneously, then melted within 3 months. Underwent KPro implantation which failed. Eventually cornea scarred and KPro left in place. |
22 | 75 | Female | Sterile keratolysis with unknown aetiology. | Acute inflammation and necrosis, no e/o infection. | 29 | Graft intact, epithelialised and remained clear. |
23 | 13 | Female | Sterile inflammatory corneal lesion with unknown aetiology. | Stromal lymphoplasmacytic inflammation with granulomatous features. | 8 | Graft intact, epithelialised and remained clear. |
e/o, evidence of; KPro, Boston type 1 keratoprosthesis; PK, penetrating keratoplasty.