Table 4

Clinical outcomes of patients with inflammatory or autoimmune keratitis undergoing lamellar patch graft surgery using gamma-irradiated corneal lenticules

PatientAge (years)SexIndication for surgeryHistopathologyDuration of follow-up (months)Clinical outcome
1980FemaleSystemic lupus erythematosus with secondary Sjögren’s syndrome.Acute inflammation and necrosis, no e/o infection.96Never epithelialised, graft melted
<1 month. Underwent several subsequent tectonic PKs—all melted. Eventually cornea epithelialised, scarred and vascularised after achieving adequate immunosuppression.
2081FemaleRheumatoid arthritis.Acute inflammation and necrosis, no e/o infection.53Graft intact and epithelialised, but developed other intraocular complications due to retinal surgery. Eventually eye became phthisical.
2132MaleSterile keratolysis with unknown aetiology.Acute inflammation and necrosis, no e/o infection.36Graft 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.
2275FemaleSterile keratolysis with unknown aetiology.Acute inflammation and necrosis, no e/o infection.29Graft intact, epithelialised and remained clear.
2313FemaleSterile inflammatory corneal lesion with unknown aetiology.Stromal lymphoplasmacytic inflammation with granulomatous features.8Graft intact, epithelialised and remained clear.
  • e/o, evidence of; KPro, Boston type 1 keratoprosthesis; PK, penetrating keratoplasty.