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Published on: July 28, 2018
INFLIXIMAB and ADALIMUMAB in Uveitic Macular Edema
R Lejoyeux1, E Diwo1, H Vallet2
1a Ophthalmology Department, Reference Center for Rare Diseases OPTHARA, Pitié-Salpétrière Hospital , Paris VI University , Paris , France.
Purpose:
To compare the efficacy of infliximab and adalimumab in patients with refractory uveitis-related macular edema (ME).
Methods:
A retrospective study was conducted in all patients with refractory uveitis-related ME treated with infliximab or adalimumab in Pitié-Salpêtrière hospital between January 1, 2006 and January 1, 2016. All patients underwent a complete ophthalmologic examination, OCT and retinal angiography at baseline, and 6 (M6) and 24 months (M24) after treatment initiation. Main outcome was a decrease in central foveal thickness (CFT) on OCT.
Results:
Twenty-five patients were included: 12 treated with adalimumab and 13 treated with infliximab. The median baseline CFT was 381 μm (Q1 = 254; Q3 = 470) in the adalimumab group and 469 μm (307; 539) in the infliximab group. At M6, 6/12 adalimumab-treated patients (50%) and 8/13 infliximab-treated patients (61%) were responders. The median CFT decrease from baseline was 61 μm (17-136) and 66 μm (-59-119) respectively at M6 and M24 in the adalimumab group versus 92 μm (9-165) and 52 μm (33-130) respectively at M6 and M24 in the infliximab group (all p > 0.05).
Conclusion:
No significant difference in efficacy was observed between infliximab and adalimumab at M6 and M24.
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