OP-8 International corneal and ocular surface disease dataset for electronic health records
of corneal vascularisation includes: 1) Infection; fungal, bacterial, viral (HSV, VZV), acanthamoeba; 2) Chemical injury with stem cell failure; 3) Corneal graft rejection; 4) Inflammatory; PUK, atopy, SJS, MMP; 5) Trauma.The efficacy of intravascular chemoembolisation with mitomycin C is well documented, particularly in hepatocellular carcinoma.This led to the hypothesis that a similar technique could be applied to corneal NV.It was first described in 2021 by Oauna et al, who reported on three patients with successful outcomes and Riaz et al in 2024 describing a fourth case with successful treatment prior to penetrating keratoplasty.Using their methodology with some modifications we started in March 2023 and in the preliminary results are the summary of the first 13 cases.Results Moorfields (13 cases).Regression (partial and full not distinguished).77% (10 cases) at 1-3 months, 1 no regression (5 months), 1 lost to FU, 85% (1 further case had regressed by 3-6 months). ConclusionMitomycin intravascular chemoembolisation (MICE) is the most effective treatment to date for established corneal vessels demonstrating sustained regression and improvement in BCVA over time.MICE is generally well-tolerated, with no cases of infection and a very low incidence of significant adverse events.MICE is an exciting new technique that opens up the possibility of treating cases that are currently untreatable.
Authors
- Darren Shu Jeng Ting (ORCID: https://orcid.org/0000-0003-1081-1141)
- Saaeha Rauz (ORCID: https://orcid.org/0000-0003-4627-3496)
- Stephen B. Kaye (ORCID: https://orcid.org/0000-0003-0390-0592)
Institutions
- University of Liverpool (GB)
- Birmingham and Midland Eye Centre (GB)
Publication Details
- Published
- 2025-04-29
- DOI
- https://doi.org/10.1136/bmjoo-2025-bca.8
- Primary Topic
- Medical Coding and Health Information
- Type
- article
- Field-Weighted Citation Impact
- 0.00