Biology of Blood and Marrow Transplantation
Volume 13, Issue 9 , Pages 1016-1021 , September 2007

Use of Fluid-Ventilated, Gas-Permeable Scleral Lens for Management of Severe Keratoconjunctivitis Sicca Secondary to Chronic Graft-versus-Host Disease

  • Kikuchi Takahide

      Affiliations

    • Fred Hutchinson Cancer Research Center, Seattle, Washington
  • ,
  • Pablo M. Parker

      Affiliations

    • Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Seattle, Washington
  • ,
  • Michael Wu

      Affiliations

    • University of Washington, Seattle, Washington
  • ,
  • William Y.K. Hwang

      Affiliations

    • Singapore General Hospital, SingHealth, Singapore
  • ,
  • Paul A. Carpenter

      Affiliations

    • Fred Hutchinson Cancer Research Center, Seattle, Washington
    • University of Washington, Seattle, Washington
  • ,
  • Carina Moravec

      Affiliations

    • Fred Hutchinson Cancer Research Center, Seattle, Washington
  • ,
  • Barbara Stehr

      Affiliations

    • Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Seattle, Washington
  • ,
  • Paul J. Martin

      Affiliations

    • Fred Hutchinson Cancer Research Center, Seattle, Washington
    • University of Washington, Seattle, Washington
  • ,
  • Perry Rosenthal

      Affiliations

    • Harvard Medical School and Boston Foundation for Sight, Boston, Massachusetts
  • ,
  • Stephen J. Forman

      Affiliations

    • Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Seattle, Washington
  • ,
  • Mary E.D. Flowers

      Affiliations

    • Fred Hutchinson Cancer Research Center, Seattle, Washington
    • University of Washington, Seattle, Washington
    • Corresponding Author InformationCorrespondence and reprint requests: Mary E.D. Flowers, MD, Clinical Research Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N, D5-290, Seattle, WA 98109.

Received 21 March 2007 ,Accepted 7 May 2007.

  • Image Result

    The OSDI scoring system. Using the sum of scores for all questions answered (D) and the number of questions answered (E), the corresponding score for the patient is then derived from the chart. The OS

    The OSDI scoring system. Using the sum of scores for all questions answered (D) and the number of questions answered (E), the corresponding score for the patient is then derived from the chart. The OSDI chart has a color scheme for computation of the severity of ocular surface disability. Reproduced with permission from Allergan®.

  • Image Result
    Scleral picture before and after SL insertion. Green fluorescein dye is used to delineate punctate keratopathy, corneal abrasions, and ulcerations. a, The cornea of patient 2 before initial lens inser

    Scleral picture before and after SL insertion. Green fluorescein dye is used to delineate punctate keratopathy, corneal abrasions, and ulcerations. a, The cornea of patient 2 before initial lens insertion. The photograph shown in b was taken after wearing the lens for 6 hours and immediately after lens removal.

PII: S1083-8791(07)00287-X

doi: 10.1016/j.bbmt.2007.05.006

Biology of Blood and Marrow Transplantation
Volume 13, Issue 9 , Pages 1016-1021 , September 2007