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Occlusive retinal vasculitis associated with intravitreal Faricimab injections
Felix F Reichel1,2, Peter Kiraly3, Roopa Vemala3
1Centre for Ophthalmology, University Eye Hospital, University Hospital Tübingen, Tübingen, Germany. felix.reichel@ouh.nhs.uk.
Journal of Ophthalmic Inflammation and Infection
|September 27, 2024
Summary
A rare case of occlusive vasculitis occurred after intravitreal Faricimab (Vabysmo) injections for diabetic macular edema. Steroid treatment stabilized the condition, highlighting the need for vigilance with this therapy.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
- Pharmacovigilance
Background:
- Intravitreal Faricimab (Vabysmo) is a novel bispecific antibody used for retinal diseases.
- Diabetic macular edema is a common complication of diabetes mellitus.
- Vascular occlusive events are a known, albeit rare, concern with intravitreal therapies.
Purpose of the Study:
- To report a case of occlusive vasculitis.
- To investigate a potential adverse event associated with intravitreal Faricimab (Vabysmo) injections.
Main Methods:
- Retrospective case report.
- Clinical presentation and diagnostic workup of a patient with vision loss post-Faricimab injection.
Main Results:
- A 52-year-old male developed sudden vision reduction, retinal hemorrhages, and vascular occlusions after Faricimab treatment for diabetic macular edema.
- Differential diagnoses were ruled out.
- The patient's condition stabilized with oral and intravitreal steroid therapy.
Conclusions:
- Occlusive vasculitis is a rare but potential complication of intravitreal Faricimab (Vabysmo) therapy.
- Further comprehensive reporting and analysis are crucial for understanding and managing this adverse event.

