通过免疫检查点抑制剂对眼睛运动的阳性影响
H Fernández Jiménez-Ortiz1, B Maroto Rodríguez1, R Lapuente Monjas1
1Servicio de Oftalmología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain.
Archivos de la Sociedad Espanola de Oftalmologia
|November 28, 2023
概括
免疫检查点抑制剂 (ICI) 提供癌症治疗益处,但可能导致眼部运动问题. 了解和报告这些副作用对于患者管理和治疗优化至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI) 是一种重要的癌症疗法,可以改善存活率,但会导致自身免疫相关的毒性.
- ICI的眼部副作用,特别是那些影响眼部运动性的副作用,尚未得到充分的描述.
- 需要准确的数据收集来定义ICI的安全概况.
研究的目的:
- 为了识别和描述与ICI诱导的眼动力相关的药理学眼部阳性事件.
- 审查关于ICI诱导的眼动力障碍的现有文献.
- 通知眼科医生关于潜在的ICI相关的眼部不良事件.
主要方法:
- 临床搜索引擎的系统文献搜索.
- 包括四个系统审查和众多案例报告.
- 专注于与眼睛运动性相关的眼睛阳光生成.
主要成果:
- 发现的不良反应包括眼运动,视神经病变/缩,神经形综合征,甲状腺伪轨道病变,轨道顶部综合征和虚体炎.
- 大多数病例在癌症治疗的最小或部分中断下得到治疗.
- 为了有效管理眼部事件,经常需要积极的全身治疗.
结论:
- 眼科医生必须意识到ICI治疗及其可能导致严重的眼动力转移 (iatrogenesis).
- 有效的管理需要对不良反应和报告的治疗方法进行沟通.
- 未来的研究应该专注于差异诊断和优化癌症治疗决策,同时管理眼部副作用.
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