免疫检查点单克隆抗体相关的不良影响在神经眼科中
May Ameri1, Nagham Al-Zubidi2, Andrew G Lee3
1The University of Texas Health Science Center at Houston, Houston, TX, USA.
概括
免疫检查点抑制剂 (ICI) 可以导致肺癌患者的眼部副作用. 本综述详细介绍了影响眼睛的不常见和严重的免疫相关不良事件 (irAEs),有助于其管理.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 眼科医生 眼科 眼科
背景情况:
- 免疫疗法,特别是免疫检查点抑制剂 (ICI),已经改变了癌症治疗.
- 虽然有效,但ICI可能会导致影响各种器官的免疫相关不良事件 (irAEs).
- 眼部IRAE (OirAEs) 是一个重大问题,影响患者的生活质量和治疗坚持.
研究的目的:
- 在肺癌患者中全面审查不常见和严重的ICI相关的眼部不良事件.
- 更新有关免疫检查点单克隆抗体相关神经眼科的知识.
- 提供有关OiraEs的流行病学,临床特征,诊断和管理的见解.
主要方法:
- 对ICI相关的眼睛毒性进行系统的文献综述.
- 对OiraEs流行病学数据和临床表现的分析.
- 对OIRE的当前管理策略和指导方针的审查.
主要成果:
- 常见的OIRE包括视力模糊,结膜炎,脑膜炎,结膜炎和视网膜病变.
- 在不同ICI中,OiraEs的频率和严重程度各不相同.
- 严重的OiraEs可能会显著影响患者的结果,需要及时管理.
结论:
- 在接受ICI治疗肺癌的患者中,眼部毒性是关键考虑因素.
- 了解和管理OiraEs对于优化患者护理和治疗疗效至关重要.
- 为了有效预防和监测OiraEs,需要进一步的研究和确定的指导方针.
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