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Table 3 Demographics and chart review of patients who developed corneal epithelial changes

From: Markedly increased ocular side effect causing severe vision deterioration after chemotherapy using new or investigational epidermal or fibroblast growth factor receptor inhibitors

 

Case

Drug

Sex

Age

Diagnosis

Corneal Features

Duration of chemotherapy (day)

Interval 1 (day)

Interval 2 (day)

Visual acuity before chemotherapy (log MAR)

Lowest visual acuity after chemothearpy (log MAR)

Highest visual acuity after end of therapy (log MAR)

Corneal clearance

OD

OS

OD

OS

OD

OS

EGFR inhibitor (Tyrosine Kinase Inhibitor)

1

Vandetanib

2

30–39

NSCLC

Vortex Keratopathy

284

91

Deceased

0

0

0

0

0

0

N/A

2

2

60–69

NSCLC

390

395

F/u loss

0.097

0.097

0.301

0.155

0.097

0.097

partial

3

2

70–79

NSCLC

253

252

230

0.155

0.155

0.222

0.301

0.222

0.155

total

4

Osimertinib

2

50–59

NSCLC

Ongoing

196

Ongoing

0

0

0.155

0.155

N/A

N/A

N/A

5

ABT-414

1

50–59

Glioblastoma

59

35

59

0

1

1.222

2

0.699

0.523

partial

6

2

70–79

Glioblastoma

231

49

141

0.046

0.301

0.523

0.523

0

0.097

total

7

2

50–59

Glioblastoma

347

23

181

0

0

0.523

0.301

0

0

total

8

1

40–49

Glioblastoma

111

22

79

0

0

0.301

0.222

0

0

total

9

2

60–69

Glioblastoma

14

22

149

0

0

0.301

0.699

0

0

total

FGFR inhibitor

10

ASP5878

2

40–49

HCC

Corneal epithelial changes mimicking dysmaturation

195

55

93

0

0

0.301

0.155

0

0

total

11

FPA144

2

40–49

Gastric cancer

459

73

218

0

0

0.046

0.398

0

0

total

12

2

60–69

Gastric cancer

70

68

F/u loss

0

0

0.155

0.046

0.097

0.046

partial

  1. EGFR epidermal growth factor receptor, FGFR fibroblast growth factor receptor, NSCLC Non-small cell lung cancer, HCC Hepatocellular carcinoma, Interval 1 Interval between start of chemotherapy and diagnosis of corneal change (day), Interval 2 Interval between end of chemotherapy and corneal recovery (day), OD Oculus Dextra (right eye), OS Oculus Sinistra (left eye), logMAR logarithm of minimal angle of resolution units, N/A Not applicable