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Secukinumab-Associated Crystalline Corneal Deposition
Barry Power1, Qistina Pilson, Timothy Fulcher
1Ophthalmology Department, Mater Misericordiae University Hospital, Dublin, Republic of Ireland.
This case report details the first instance of corneal crystalline deposits linked to secukinumab (a monoclonal antibody) therapy for ankylosing spondylitis. The patient remained asymptomatic with no vision loss, highlighting a potential side effect of this treatment.
Area of Science:
- Ophthalmology
- Rheumatology
- Immunology
Background:
- Secukinumab is a monoclonal antibody used to treat inflammatory conditions like ankylosing spondylitis.
- The increasing use of monoclonal antibodies necessitates understanding their potential side effects.
Observation:
- An 18-year-old male on secukinumab therapy for ankylosing spondylitis developed crystalline corneal deposits.
- Deposits were noted 1 year after initiating treatment, with no prior history of eye issues.
Findings:
- Refractile crystals were observed in the anterior stroma of both corneas.
- The patient was asymptomatic with best-corrected visual acuity of 20/20.
- Systemic workup and family history ruled out other causes of crystal deposition.
Implications:
- This is the first reported case of corneal crystalline deposition associated with secukinumab.
- Corneal specialists may encounter this side effect more frequently as monoclonal antibody use expands.
- Understanding the natural history of such side effects is crucial for safe and effective use of these therapies.
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