Supportive care recommendations for ocular chronic GVHD
| Topical and oral therapies |
| Artificial tears, preservative free Viscous ointment at bedtime/viscous tears during the day Cyclosporine and topical steroid eye drops Oral agents such as cevimeline and pilocarpine Doxycycline to reduce inflammation |
| Surgical |
| Punctal occlusion (temporary using silicone plugs) Permanent occlusion using thermal cautery Superficial debridement of filamentary keratitis Partial tarsorrhaphy |
| Eye wear/environmental strategy |
| Occlusive eye wear (moisture chamber goggles) Lid care/warm compressors/humidified environment Bandage contact lens |
| Treatments not widely available |
| Autologous serum eye drops Gas-permeable contact lens (scleral lens prosthesis) |
| Topical and oral therapies |
| Artificial tears, preservative free Viscous ointment at bedtime/viscous tears during the day Cyclosporine and topical steroid eye drops Oral agents such as cevimeline and pilocarpine Doxycycline to reduce inflammation |
| Surgical |
| Punctal occlusion (temporary using silicone plugs) Permanent occlusion using thermal cautery Superficial debridement of filamentary keratitis Partial tarsorrhaphy |
| Eye wear/environmental strategy |
| Occlusive eye wear (moisture chamber goggles) Lid care/warm compressors/humidified environment Bandage contact lens |
| Treatments not widely available |
| Autologous serum eye drops Gas-permeable contact lens (scleral lens prosthesis) |