[Induced drug uveitis and drug side effects in ophthalmology]
1Service de médecine interne, hôpital Ambroise-Paré, 92104 Boulogne-Billancourt, France.
Abstract:
Ocular drug side effects are very varied and can affect all the structures of the eye. The purpose of this review is to help clinicians: (i) to evoke this drug-induced toxicity yearly in the course of an unexplained ocular injury, before its damage become irreversible, (ii) to be able to recognize induced paradoxical ocular inflammation, mimicking an inflammatory pathology flare-up, especially in patient under anti-TNF regimen and (iii) to propose a more in-depth knowledge on recently described ocular toxicities from targeted cancer therapy, mainly the tyrosine kinase inhibitors.
Insights
Ocular drug side effects can impact eye structures. This review aids clinicians in recognizing drug-induced ocular toxicity and inflammation, particularly from anti-TNF and targeted cancer therapies.
Area of Science:
- Ophthalmology
- Pharmacology
- Oncology
Background:
- Ocular drug side effects present diverse clinical manifestations.
- Early identification of drug-induced ocular toxicity is crucial to prevent irreversible damage.
Purpose of the Study:
- To assist clinicians in diagnosing unexplained ocular injuries as drug-induced.
- To recognize paradoxical ocular inflammation in patients on anti-tumor necrosis factor (anti-TNF) therapy.
- To enhance understanding of ocular toxicities associated with targeted cancer therapies, including tyrosine kinase inhibitors.
Main Methods:
- Literature review of ocular drug toxicities.
- Analysis of clinical presentations of drug-induced ocular inflammation.
- Review of emerging toxicities from novel cancer therapeutics.
Main Results:
- Drug-induced ocular toxicity can mimic various eye conditions.
- Anti-TNF therapy may lead to paradoxical ocular inflammation.
- Tyrosine kinase inhibitors are associated with specific ocular side effects.
Conclusions:
- Clinicians should consider drug-induced toxicity in unexplained ocular injuries.
- Awareness of drug-induced ocular inflammation is vital, especially in patients on anti-TNF agents.
- Knowledge of targeted cancer therapy ocular toxicities is essential for patient management.
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