Ocular side effects of biological agents in oncology: what should the clinician be aware of?
1Department of Ophthalmology, Universitätsklinikum des Saarlandes, Homburg, Germany.
Abstract:
During the last 20 years, biologicals have become increasingly relevant in oncologic therapy. Depending on the medication used, there are different profiles of ocular side effects. Although these can be present in up to 70% of patients, they are generally underreported in the literature. Therefore, the pathophysiological details of their development are often poorly understood. Herein we attempt to identify groups of biologicals to which a specific side effect profile can be assigned. We also tried to capture all relevant side effects and therefore conducted several database investigation including Medline, Cochrane library, and the drugs section of the US Food and Drug Administration (FDA), using the following search strings: "name of biological agent (both generic and commercial names)" AND "eye" OR "ocular". If we found a side effect that has been associated with a drug, we researched Medline using the following search string: "name of biological agent" (both generic and commercial names) AND "term for the specific side effect". Due to the wealth of material we report only the drugs that are approved by the FDA.
Insights
Biological therapies for cancer have distinct ocular side effect profiles. This review categorizes biologicals by their specific eye-related adverse events, aiding clinical management and research.
Area of Science:
- Oncology
- Ophthalmology
- Pharmacology
Background:
- Biological therapies are increasingly vital in cancer treatment.
- Ocular side effects from these therapies are common (up to 70%) but often underreported.
- Understanding specific side effect profiles linked to biological agents is crucial.
Purpose of the Study:
- To categorize biological agents based on their associated ocular side effect profiles.
- To provide a comprehensive overview of ocular adverse events linked to FDA-approved biologicals in oncology.
Main Methods:
- Conducted extensive database searches (Medline, Cochrane Library, FDA).
- Utilized specific search strings combining biological agent names with "eye" or "ocular".
- Further investigated drug-specific side effects through targeted Medline searches.
Main Results:
- Identified distinct ocular side effect profiles for different groups of biological agents.
- Compiled a list of ocular side effects associated with FDA-approved oncologic biologicals.
- Highlighted underreported ocular adverse events in the literature.
Conclusions:
- Biologicals used in cancer therapy exhibit varied ocular side effect profiles.
- This categorization aids in predicting and managing potential eye-related adverse events.
- Further research into the pathophysiology of these ocular side effects is warranted.
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