Title
Uveitis in Tumor Patients Treated with Immunological Checkpoint- and Signal Transduction Pathway-Inhibitors.
Link to article in PubMed
Author(s)
Thurau, Stephan
Engelke, Hendrik
Symes, Richard J
Teuchner, Barbara
Haas, Gertrud
Allegri, Pia
Cimino, Luca
Bolletta, Elena
Miserocchi, Elisabetta
Russo, Marinella
Li, Jeany Q
Heiligenhaus, Arnd
Wildner, Gerhild
Abstract
Purpose: New tumor therapies like immune checkpoint inhibitors and small molecule inhibitors of MEK and BRAF have increased the patient's survival rate but can be burdened with severe side-effects including uveitis. Here, we show the spectrum, treatment, and outcome of uveitis types induced by tumor treatment.Methods: In this retrospective study, we have included 54 patients from different centers who were developing uveitis under tumor therapy. A 16-item questionnaire was analyzed for type, treatment, and outcome of uveitis and type of tumor treatment, which we have correlated here.Results: Irrespective of the tumor treatment, most patients developed anterior uveitis. All patients received corticosteroids and some additional immunosuppressive treatments. Cessation of tumor therapy was necessary only in a minority of cases.Conclusions: Ocular autoimmunity should be differentiated from toxic effects of cancer treatment and timely recognized since it can be generally well controlled by anti-inflammatory treatment, preserving the patient's vision without cessation of the tumor treatment.
Publication information
Ocul Immunol Inflamm . 2022 Oct-Nov;30(7-8):1588-1594. doi: 10.1080/09273948.2021.1910850. Epub 2021 May 13.
Date Issued
2021-05-13
Type
Journal Article
Journal Title
Ocular immunology and inflammation
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