Research Article

Use of Autologous Serum Eye Drops with Contact Lenses in the Treatment of Chemical Burn-Induced Bilateral Corneal Persistent Epithelial Defects

Table 2

Studies on the combination of bandage contact lenses and autologous serum eye drops for corneal PED treatment.

This studySchrader et al. [6]Choi and Chung [7]Lee et al. [8]Wang et al. [9]

Study designRetrospective studyRetrospective studyProspective studyProspective studyRetrospective study
Patient number8582112
Lesion eyeBilateralFour unilateral
One patient treated two times in 2 years
UnilateralUnilateralUnilateral
Pathogenesis of PEDChemical burnRheumatoid sterile corneal ulcer, neurotrophic keratopathy, and partial limbal stem cell deficiencySjögren-type dry eye syndrome, graft-versus-host disease, toxic keratitis, limbal cell deficiency, superior limbic keratoconjunctivitis, and neurotrophic keratitisChemical burn with partial limbal stem cell deficiency, corneal epithelial debridement caused by mechanical debridement during pars plana vitrectomy, postinfectious, and neurotrophic keratopathyPostinfectious
Type of contact lensSilicone–hydrogel CLsFDA group IV hydrogel lensesSilicone–hydrogel CLsSilicone–hydrogel CLsSilicone–hydrogel CLs
Autologous serum concentration20% (v/v)20% (v/v)50% (v/v)20% (v/v)20% (v/v)
Frequency of autologous serum eye drop applicationEvery 2 hours8 times a dayEvery 2 hoursEvery 2 hoursEvery 2 hours
Treatment responseAll healed in 2 weeksAll healed in  daysAll healed in daysAll healed in 3 weeksAll healed in 2 weeks

Abbreviations: PED: persistent epithelial defect; CLs: contact lenses; FDA: US Food and Drug Administration; v/v: volume/volume percent.