Mitomycin intravascular chemoembolization (MICE) to treat corneal vascularization prior to penetrating keratoplasty

Purpose: To present the clinical outcome of mitomycin intravascular chemoembolization (MICE) as a prophylactic treatment in a patient with HSV-induced corneal neovascularization (NV) before penetrating keratoplasty (PKP). Observations: A 53-year-old male patient presented with a medical history of r...

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Main Authors: Neal Rangu, Kamran M. Riaz
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993624000033
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author Neal Rangu
Kamran M. Riaz
author_facet Neal Rangu
Kamran M. Riaz
author_sort Neal Rangu
collection DOAJ
description Purpose: To present the clinical outcome of mitomycin intravascular chemoembolization (MICE) as a prophylactic treatment in a patient with HSV-induced corneal neovascularization (NV) before penetrating keratoplasty (PKP). Observations: A 53-year-old male patient presented with a medical history of recurrent herpes simplex virus (HSV) corneal infection. The patient reported worsening visual acuity despite maintenance treatment with systemic antivirals and topical corticosteroids. After the appearance of corneal NV, subconjunctival triamcinolone and bevacizumab injections were given with limited and temporary improvement. Due to worsening corneal NV, MICE was subsequently performed, resulting in the elimination of corneal NV from the visual axis, which allowed for successful PKP 4 months later. Cataract surgery was performed 6 months after PKP. Conclusions and importance: This report describes the potential efficacy of MICE as a prophylactic treatment for corneal NV prior to PKP.
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spelling doaj.art-dc040ec31ae24a21bffc61c1660c9d722024-02-21T05:29:20ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-03-0133101993Mitomycin intravascular chemoembolization (MICE) to treat corneal vascularization prior to penetrating keratoplastyNeal Rangu0Kamran M. Riaz1Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA; College of Medicine, University of Oklahoma, Oklahoma City, OK, USADepartment of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA; College of Medicine, University of Oklahoma, Oklahoma City, OK, USA; Corresponding author. Dean A. McGee Eye Institute, University of Oklahoma, 608 Stanton L. Young Blvd, Suite 313, Oklahoma City, OK 73104, USA.Purpose: To present the clinical outcome of mitomycin intravascular chemoembolization (MICE) as a prophylactic treatment in a patient with HSV-induced corneal neovascularization (NV) before penetrating keratoplasty (PKP). Observations: A 53-year-old male patient presented with a medical history of recurrent herpes simplex virus (HSV) corneal infection. The patient reported worsening visual acuity despite maintenance treatment with systemic antivirals and topical corticosteroids. After the appearance of corneal NV, subconjunctival triamcinolone and bevacizumab injections were given with limited and temporary improvement. Due to worsening corneal NV, MICE was subsequently performed, resulting in the elimination of corneal NV from the visual axis, which allowed for successful PKP 4 months later. Cataract surgery was performed 6 months after PKP. Conclusions and importance: This report describes the potential efficacy of MICE as a prophylactic treatment for corneal NV prior to PKP.http://www.sciencedirect.com/science/article/pii/S2451993624000033Mitomycin intravascular chemoembolizationCorneal neovascularizationPenetrating keratoplasty
spellingShingle Neal Rangu
Kamran M. Riaz
Mitomycin intravascular chemoembolization (MICE) to treat corneal vascularization prior to penetrating keratoplasty
American Journal of Ophthalmology Case Reports
Mitomycin intravascular chemoembolization
Corneal neovascularization
Penetrating keratoplasty
title Mitomycin intravascular chemoembolization (MICE) to treat corneal vascularization prior to penetrating keratoplasty
title_full Mitomycin intravascular chemoembolization (MICE) to treat corneal vascularization prior to penetrating keratoplasty
title_fullStr Mitomycin intravascular chemoembolization (MICE) to treat corneal vascularization prior to penetrating keratoplasty
title_full_unstemmed Mitomycin intravascular chemoembolization (MICE) to treat corneal vascularization prior to penetrating keratoplasty
title_short Mitomycin intravascular chemoembolization (MICE) to treat corneal vascularization prior to penetrating keratoplasty
title_sort mitomycin intravascular chemoembolization mice to treat corneal vascularization prior to penetrating keratoplasty
topic Mitomycin intravascular chemoembolization
Corneal neovascularization
Penetrating keratoplasty
url http://www.sciencedirect.com/science/article/pii/S2451993624000033
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