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Refractory necrotizing scleritis successfully treated with adalimumab.

Lola E Lawuyi1, Avinash Gurbaxani2

  • 1, Gate 17, Villa 970 Al Raha Gardens, Abu Dhabi, United Arab Emirates. Lola27law@yahoo.co.uk.

Journal of Ophthalmic Inflammation and Infection
|October 14, 2016
PubMed
Summary

Necrotizing scleritis, a severe eye condition, was successfully treated in two patients using adalimumab, a biologic medication targeting inflammation. This offers a potential new treatment avenue for this destructive disease.

Keywords:
AdalimumabNecrotizing scleritisTNF inhibitors

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Area of Science:

  • Ophthalmology
  • Rheumatology
  • Immunology

Background:

  • Necrotizing scleritis is a severe, destructive ocular condition with significant vision-threatening potential.
  • It encompasses forms with and without inflammation, including scleromalacia perforans.
  • Adalimumab, a biologic agent, targets tumor necrosis factor (TNF) and is approved for various autoimmune conditions.

Discussion:

  • This report details two successful cases of necrotizing scleritis managed with adalimumab.
  • The use of adalimumab in necrotizing scleritis demonstrates its potential efficacy beyond its approved indications.
  • Tumor necrosis factor inhibition may be a viable therapeutic strategy for severe, destructive forms of scleritis.

Key Insights:

  • Successful treatment of two necrotizing scleritis cases using adalimumab.
  • Adalimumab, a TNF inhibitor, shows promise in managing severe ocular inflammatory disease.
  • This suggests a potential role for targeted biologic therapy in sight-threatening scleritis.

Outlook:

  • Further investigation into adalimumab's efficacy and safety for necrotizing scleritis is warranted.
  • Exploring TNF inhibition as a treatment for similar destructive inflammatory eye conditions.
  • Potential for improved patient outcomes in severe scleritis through targeted biologic therapies.