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Updated: May 10, 2025

Induction of Ocular Surface Inflammation and Collection of Involved Tissues
Published on: August 4, 2022
Updates in immunomodulator therapy in ocular surface inflammatory diseases
Ali Khodor1, Luis A Rodriguez-Gutierrez, Raul E Ruiz-Lozano
1Bascom Palmer Eye Institute, University of Miami, Miami, Florida, USA.
Novel immunomodulatory therapies offer promising alternatives to corticosteroids for ocular surface inflammatory disorders. Targeted agents and biologics are advancing treatment for conditions like allergic conjunctivitis and oGVHD.
Area of Science:
- Ophthalmology
- Immunology
- Pharmacology
Background:
- Ocular surface inflammatory disorders (OSIDs) present complex immune challenges.
- Corticosteroids, a traditional therapy, have limitations.
- There is a need for novel, steroid-sparing immunomodulatory options.
Purpose of the Study:
- To review novel, steroid-sparing immunomodulatory treatments for OSIDs.
- To explore advancements beyond traditional therapies like corticosteroids.
Main Methods:
- Literature review of recent advancements in immunomodulatory therapies for OSIDs.
- Analysis of emerging agents targeting specific immune pathways.
Main Results:
- Immunomodulatory therapies have evolved to include JAK inhibitors (e.g., ruxolitinib) and biologics (e.g., dupilumab, upadacitinib).
- JAK inhibitors and combination therapies show promise for oGVHD.
- Rituximab and IVIg are effective for cicatrizing conjunctivitis.
- Novel targets include chemokine receptor blockers, Treg modulation, and micro-RNA therapeutics.
Conclusions:
- The future of OSID therapy involves refining current treatments and developing targeted biologics.
- These advancements aim to improve efficacy and safety for sight-threatening ocular conditions.
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