作者
Marie-Claude Robert, Alja Črnej, Lucy Q Shen, George N Papaliodis, Reza Dana, C Stephen Foster, James Chodosh, Claes H Dohlman
发表日期
2017/5/4
期刊
Ocular Immunology and Inflammation
卷号
25
期号
3
页码范围
413-417
出版商
Taylor & Francis
简介
Purpose: To report our experience using intravenous infliximab for the treatment of tissue melt after Boston keratoprosthesis (B-KPro) types I and II in patients with autoimmune disease.
Methods: Case series.
Results: We identified four patients who were treated with intravenous infliximab in the context of tissue melt after B-KPro. Stevens–Johnson syndrome-associated corneal blindness was the primary surgical indication for B-KPro implantation in all patients. Two patients received a B-KPro type I and two patients received a B-KPro type II. The patients received intravenous infliximab for skin retraction around B-KPro type II, melting of the carrier graft or leak. Treatment resulted in a dramatic decrease in inflammation and, in some cases, arrest of the melting process. Cost and patient adherence were limiting factors to pursuing infliximab therapy. In addition, one patient developed infusion reactions.
Conclusions …
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MC Robert, A Črnej, LQ Shen, GN Papaliodis, R Dana… - Ocular Immunology and Inflammation, 2017