Ocular side effects in chronic myeloid leukemia patients treated with imatinib

Massimo Breccia1, Fabiana Gentilini, Laura Cannella

  • 1Department of Cellular Biotechnology and Hematology, University La Sapienza, Rome, Italy. breccia@bce.uniroma.it

Leukemia Research
|December 7, 2007
PubMed

Insights

Imatinib mesylate, used for Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML), can cause various ocular side effects. These range from mild eyelid swelling to severe conditions like glaucoma.

Area of Science:

  • Ophthalmology
  • Oncology
  • Pharmacology

Background:

  • Imatinib mesylate is a targeted therapy for Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML).
  • Ocular toxicity of imatinib mesylate is not well-documented, with periorbital edema being the most frequent adverse effect.
  • Understanding the full spectrum of ocular complications is crucial for patient management.

Purpose of the Study:

  • To describe the range of ocular complications observed in patients treated with imatinib mesylate for Ph+ CML.
  • To highlight the spectrum of adverse ocular events associated with imatinib therapy.

Main Methods:

  • Retrospective analysis of ocular adverse events in patients with Ph+ CML treated with imatinib mesylate.
  • Clinical data review focusing on ophthalmological findings.

Main Results:

  • A wide spectrum of ocular adverse effects was observed.
  • Reported complications included periorbital edema and more severe events such as glaucoma.

Conclusions:

  • Imatinib mesylate treatment can lead to a diverse range of ocular complications.
  • Ophthalmologists should be aware of these potential adverse effects, including serious conditions like glaucoma, in patients receiving imatinib.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists01:29

Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists

Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists01:27

Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists

5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
Therapeutic Drug Monitoring: Affecting Factors01:29

Therapeutic Drug Monitoring: Affecting Factors

Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.