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Ocular Toxicity of Targeted Anticancer Agents.
Blake H Fortes1, Prashant D Tailor1, Lauren A Dalvin2
1Department of Ophthalmology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Targeted anticancer therapies offer improved survival but can cause eye problems. Ophthalmologists must identify and manage these visual side effects to preserve vision and optimize cancer treatment.
Area of Science:
- Ophthalmology
- Oncology
- Pharmacology
Background:
- Targeted anticancer agents have transformed cancer care, improving outcomes for many patients.
- These novel therapies are frequently associated with specific ocular adverse effects.
- Ophthalmologists play a crucial role in identifying and managing these treatment-related toxicities.
Purpose of the Study:
- To review the spectrum of ophthalmic adverse effects associated with targeted and hormonal anticancer agents.
- To provide guidance on the recognition and management of these ocular toxicities.
- To emphasize the importance of multidisciplinary collaboration between ophthalmologists and oncologists.
Main Methods:
- Literature review of ophthalmic adverse events from targeted and hormonal anticancer therapies.
- Synthesis of current knowledge on the clinical presentation and pathophysiology of ocular side effects.
- Summary of evidence-based management strategies for common and severe ocular toxicities.
Main Results:
- Various targeted and hormonal agents can induce a range of ocular side effects, including dry eye, retinopathy, and uveitis.
- Early recognition and appropriate ocular management can often prevent permanent vision loss.
- Discontinuation of cancer therapy may be necessary in rare, severe cases of vision-threatening toxicity.
Conclusions:
- Ophthalmologists must maintain a high index of suspicion for ocular adverse effects in patients receiving targeted anticancer therapy.
- Prompt diagnosis and management of ocular toxicities are essential for preserving visual function.
- Effective management strategies allow for the continuation of life-saving cancer treatments in most cases.
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