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Table 2 Post-operative characteristics and outcomes of ocular surface stem cell transplantation via contact lens delivery

From: Clinical outcomes of xeno-free expansion and transplantation of autologous ocular surface epithelial stem cells via contact lens delivery: a prospective case series

Case

Type of graft

Follow-up, years

Complications during cell culture

Procedure performed in trial

Subsequent procedures

Pre-operative visual acuity

Post-operative visual acuity

Ocular surface

Notes

Result

1

C

5.75

CL rolled under superior lid, required insertion of second CL

SCT + SK

-

6/60 + 1

6/45

Central clear, peripheral pannus

Glaucoma, DE, subepithelial scarring

S

2

L

5.67

biopsy retained in cornea

SCT + SK

DSEK (endothelial decompensation), CE/IOL

6/18-1

6/60

Central clear, peripheral vascularisation

Endothelial decompensation

S

3

L

5.33

Nil

SCT + SK

-

CF at 0.2 m

LP

Central clear, peripheral vascularisation

Stromal scarring, corneal stromal opacity, cataracts

S

4

C

2.92 (lost to follow-up)

Nil

SCT + SK

-

6/45

6/36

Central clear, superior peripheral pannus

Subepithelial scarring

S

5

C

4.67

Second biopsy, no/poor growth

SCT + SK

-

CF at 0.5 m

1/60

Central clear, peripheral pannus

Stromal scarring

S

6

C

4.17

Second biopsy, no/poor growth

SCT + PK

PK + HAM graft (failed transplant), blepharoplasty, CE/IOL, Molteno implant

HM

6/60

PED

Corneal astigmatism, glaucoma, DE

F

7

L

3.25

Second biopsy, no/poor growth

SCT + SK

-

CF at 1 m

CF at 1 m

PED, recurrent corneal vascularisation

Subepithelial scarring

F

8

L

2.58

Nil

SCT + PK

YAG

HM

0.5/60

PED

Graft astigmatism, stromal scarring

F

9

L

0.75

Small defect created on removal of CL

SCT + SK

-

6/6

6/6

Central clear

Corneal astigmatism, subepithelial scarring

S

10

C

2.42

Nil

SCT + SK

-

CF at 2 m

6/90

Central clear, ulcers from toxicity of glaucoma meds

DE, severe glaucoma, progressive corneal oedema, stromal scarring

S

11

C

2.17

Nil

SCT + SK + EDTA + BV diathermy

-

2/60.

1.5/60

Central clear, pannus to graft-host junction

DE, postoperative endophthalmitis (prior PTK), corneal ectasia, subep scarring

S

12

L

2.25

Second biopsy, no/poor growth

SCT + PK + CE/IOL

-

3/60

CF

Irregular epithelium, graft opacity, PEEs, PEDx2 on graft

DE, glaucoma, ocular surface toxicity, stromal scarring

F

13

L

2

Nil

SCT

HAM transplant (corneal ulcer) + tarsorrhaphy, PK (corneal perforation)

HM

HM

Swirled epithelium, PED, recurrent corneal vascularisation

Stromal scarring

F

14

C

1.92

Nil

SCT + PK

 

HM

6/90

Central clear, mild subepithelial haze, <2 clock hours of superior-temporal whorl-like corneal staining

DE, graft astigmatism, glaucoma, stromal scarring

PS

15

C

1.67

Nil

SCT + SK

EDTA

6/36

6/90

Central clear

LK, stromal scarring

S

16

C

1.67

Nil

SCT + SK

Cyclodiode laser

2/60.

1/60

Corneal ulcer, PED

DE, stromal scarring, glaucoma

F

  1. BV, blood vessel; C, conjunctival; CE/IOL, cataract extraction/intraocular lens; CF, counting fingers; CL, contact lens; DE, dry eye; DSEK, Descemet’s stripping endothelial keratoplasty; EDTA, ethylenediaminetetraacetic acid chelation therapy for band keratopathy; F, failure; HAM, human amniotic membrane; HM, hand movements; L, limbal; LK, lipid keratopathy; LP, light perception; PED, persistent epithelial defect; PEEs, punctate epithelial erosions; PK, penetrating keratoplasty; PS, partial success; PTK, phototherapuetic keratectomy; S, success; SCT, stem cell transplant; SK, superficial keratectomy; YAG, yttrium aluminium garnet capsulotomy.