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Bilateral Retrobulbar Optic Neuropathy Associated With Golimumab
Marta de Frutos-Lezaun1, Aritz Bidaguren, Patricia de la Riva
1Departments of *Ophthalmology, †Neurology, and ‡Rheumatology, Donostia University Hospital, Spain.
Clinical Neuropharmacology
|March 10, 2017
Summary
This case study documents the first instance of retrobulbar optic neuropathy, a vision impairment, linked to golimumab treatment for ankylosing spondylitis. The condition did not improve after discontinuing golimumab or with steroid therapy.
Area of Science:
- Ophthalmology
- Neurology
- Rheumatology
Background:
- Tumor necrosis factor alpha inhibitors (TNFAI) are used to treat inflammatory conditions like ankylosing spondylitis.
- Demyelinating complications have been previously reported with TNFAI use.
- Golimumab is a recently developed TNFAI with a less established safety profile regarding neurological adverse effects.
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