Ocular side effects of novel anti-cancer biological therapies

Abstract To examine the ocular side effects of selected biological anti-cancer therapies and the ocular and systemic prognosis of patients receiving them. We retrospectively reviewed all medical records of patients who received biological anti-cancer treatment from 1/2012 to 12/2017 and who were tre...

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Autores principales: Vicktoria Vishnevskia-Dai, Lihi Rozner, Raanan Berger, Ziv Jaron, Sivan Elyashiv, Gal Markel, Ofira Zloto
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/01f14d4204674dacb1141f282afa57e1
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spelling oai:doaj.org-article:01f14d4204674dacb1141f282afa57e12021-12-02T14:12:07ZOcular side effects of novel anti-cancer biological therapies10.1038/s41598-020-80898-72045-2322https://doaj.org/article/01f14d4204674dacb1141f282afa57e12021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-80898-7https://doaj.org/toc/2045-2322Abstract To examine the ocular side effects of selected biological anti-cancer therapies and the ocular and systemic prognosis of patients receiving them. We retrospectively reviewed all medical records of patients who received biological anti-cancer treatment from 1/2012 to 12/2017 and who were treated at our ocular oncology service. The following data was retrieved: primary malignancy, metastasis, type of biological therapy, ocular side effects, ophthalmic treatment, non-ocular side effects, and ocular and systemic disease prognoses. Twenty-two patients received biological therapies and reported ocular side effects. Eighteen patients (81.8%) had bilateral ocular side effects, including uveitis (40.9%), dry eye (22.7%), and central serous retinopathy (22.7%). One patient (4.5%) had central retinal artery occlusion (CRAO), and one patient (4.5%) had branch retinal vein occlusion (BRVO). At the end of follow-up, 6 patients (27.27%) had resolution of the ocular disease, 13 patients (59.09%) had stable ocular disease, and 3 patients (13.64%) had progression of the ocular disease. Visual acuity improved significantly at the end of follow-up compared to initial values. Eighteen patients (81.8%) were alive at study closure. Biological therapies can cause a wide range of ocular side effects ranging from dry eye symptoms to severe pathologies that may cause ocular morbidity and vision loss, such as uveitis, CRAO and BRVO. All patients receiving biological treatments should be screened by ophthalmologists before treatment, re-screened every 4–6 months during treatment, and again at the end of treatment. Patients on biological treatment who have ocular complaints should be urgently referred to ocular consultation for early identification and early intervention.Vicktoria Vishnevskia-DaiLihi RoznerRaanan BergerZiv JaronSivan ElyashivGal MarkelOfira ZlotoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Vicktoria Vishnevskia-Dai
Lihi Rozner
Raanan Berger
Ziv Jaron
Sivan Elyashiv
Gal Markel
Ofira Zloto
Ocular side effects of novel anti-cancer biological therapies
description Abstract To examine the ocular side effects of selected biological anti-cancer therapies and the ocular and systemic prognosis of patients receiving them. We retrospectively reviewed all medical records of patients who received biological anti-cancer treatment from 1/2012 to 12/2017 and who were treated at our ocular oncology service. The following data was retrieved: primary malignancy, metastasis, type of biological therapy, ocular side effects, ophthalmic treatment, non-ocular side effects, and ocular and systemic disease prognoses. Twenty-two patients received biological therapies and reported ocular side effects. Eighteen patients (81.8%) had bilateral ocular side effects, including uveitis (40.9%), dry eye (22.7%), and central serous retinopathy (22.7%). One patient (4.5%) had central retinal artery occlusion (CRAO), and one patient (4.5%) had branch retinal vein occlusion (BRVO). At the end of follow-up, 6 patients (27.27%) had resolution of the ocular disease, 13 patients (59.09%) had stable ocular disease, and 3 patients (13.64%) had progression of the ocular disease. Visual acuity improved significantly at the end of follow-up compared to initial values. Eighteen patients (81.8%) were alive at study closure. Biological therapies can cause a wide range of ocular side effects ranging from dry eye symptoms to severe pathologies that may cause ocular morbidity and vision loss, such as uveitis, CRAO and BRVO. All patients receiving biological treatments should be screened by ophthalmologists before treatment, re-screened every 4–6 months during treatment, and again at the end of treatment. Patients on biological treatment who have ocular complaints should be urgently referred to ocular consultation for early identification and early intervention.
format article
author Vicktoria Vishnevskia-Dai
Lihi Rozner
Raanan Berger
Ziv Jaron
Sivan Elyashiv
Gal Markel
Ofira Zloto
author_facet Vicktoria Vishnevskia-Dai
Lihi Rozner
Raanan Berger
Ziv Jaron
Sivan Elyashiv
Gal Markel
Ofira Zloto
author_sort Vicktoria Vishnevskia-Dai
title Ocular side effects of novel anti-cancer biological therapies
title_short Ocular side effects of novel anti-cancer biological therapies
title_full Ocular side effects of novel anti-cancer biological therapies
title_fullStr Ocular side effects of novel anti-cancer biological therapies
title_full_unstemmed Ocular side effects of novel anti-cancer biological therapies
title_sort ocular side effects of novel anti-cancer biological therapies
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/01f14d4204674dacb1141f282afa57e1
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