与现代抗癌疗法相关的眼表面毒性
Rafael Boucher1, Oscar Haigh2, Emmanuel Barreau3
1Service d'Ophtalmologie, Assistance Publique Hôpitaux de Paris (AP-HP), Université Paris-Saclay. Centre de Référence pour les maladies rares en ophtalmologie (OPHTARA), Le Kremlin-Bicêtre, France; Department of Immunology of Viral and Auto-immune Disease (IMVA DSV/iMETI/IDMIT), UMR1184, CEA, Fontenay-aux-Roses, France.
Survey of ophthalmology
|October 8, 2023
概括
现代癌症疗法 (MAT) 可以导致罕见但严重的眼表面问题. 瘤学家和眼科医生的早期诊断和干预对于预防视力损失和维持患者的生活质量至关重要.
科学领域:
- 在瘤学瘤学.
- 眼科医生 眼科 眼科
- 药理学 药理学是指药理学的学科.
背景情况:
- 癌症治疗已经从细胞毒性疗法演变为针对性的方法,如免疫检查点抑制剂和抗体药物合剂.
- 现代抗癌疗法 (MAT) 提供了更好的疗效,但可能会导致眼表面不良事件.
- 这些眼部并发症虽然很少见,但可能被低估,并影响患者的生活质量.
研究的目的:
- 讨论与MATs相关的眼睛表面病理.
- 描述这些不良事件的疑似病理生理机制.
- 概述目前对MATs诱导的眼睛表面疾病的治疗策略.
主要方法:
- 关于与现代抗癌疗法相关的眼表面不良事件的文献综述.
- 报告的病例和可疑的眼睛毒性机制的分析.
- 对诊断和管理的临床信息的综合.
主要成果:
- 包括免疫检查点抑制剂和向疗法在内的MAT与一系列眼睛表面病理有关.
- 潜在的机制包括直接的毒性,免疫介导反应,或破坏眼睛表面平衡.
- 早期识别和及时管理是缓解视力障碍的关键.
结论:
- 眼科医生和瘤学家必须对MATs相关的眼表面不良事件保持警.
- 及时干预可以有效地管理这些情况并保护视力.
- 需要进一步的研究,以充分了解和预防这些与治疗相关的毒性.
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