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Updated: Jun 22, 2025

Stereotactic Radiosurgery for Gynecologic Cancer
Published on: April 17, 2012
Ocular side effects of anticancer agents used in the treatment of gynecologic cancers
Fionnuala Crowley1, Sophie Broderick2, Jasmine H Francis3
1Department of Hematology Oncology, Icahn School of Medicine at Mount Sinai, New York, USA; Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, USA.
Abstract:
The treatment landscape of gynecologic cancers has expanded in recent years to include targeted and immune-based therapies. These therapies often have ocular side effects not seen with conventional chemotherapies, some of which can cause significant visual impairment if not recognized in a timely fashion. Clinicians must know how to appropriately identify, mitigate, and treat these ocular adverse events. Management often involves working with an interdisciplinary team of eye specialists, and it is important to know when to refer patients for specialized care. Proactive identification of eye specialists, especially in rural and community settings where access to care can be limited, may be necessary. Here, we discuss the management of common ocular toxicities seen with novel anticancer agents used to treat gynecologic cancers.
Insights
New targeted and immune therapies for gynecologic cancers can cause vision loss. Early recognition and management of these ocular side effects are crucial for preserving sight.
Area of Science:
- Oncology
- Ophthalmology
- Cancer Therapeutics
Background:
- Gynecologic cancer treatment now includes targeted and immune therapies.
- These novel agents present unique ocular side effects, distinct from traditional chemotherapy.
- Timely identification and management of ocular toxicities are essential to prevent visual impairment.
Purpose of the Study:
- To discuss the management of common ocular toxicities associated with novel anticancer agents for gynecologic cancers.
- To emphasize the importance of clinician awareness and interdisciplinary collaboration for managing these side effects.
- To highlight the need for proactive identification of eye specialists, particularly in underserved areas.
Main Methods:
- Review of common ocular toxicities from targeted and immune therapies in gynecologic oncology.
- Discussion of identification, mitigation, and treatment strategies for ocular adverse events.
- Emphasis on the role of an interdisciplinary team, including ophthalmologists.
Main Results:
- Novel anticancer agents can cause significant ocular side effects.
- Early recognition and intervention are key to managing visual impairment.
- Collaboration with eye specialists is critical for optimal patient care.
Conclusions:
- Clinicians must be prepared to manage ocular toxicities from new gynecologic cancer treatments.
- Interdisciplinary care and timely referral to ophthalmology are vital.
- Proactive planning for specialist access is necessary, especially in resource-limited settings.
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