与Tralokinumab相关的角膜穿孔
Javier García-Bardera1, Mireia García-Bermúdez1, Sergio Pernas-Martin2
1Ophthalmology Department, Hospital Clinico San Carlos, Madrid, Spain.
Cornea
|June 17, 2025
概括
本案例研究记录了第一次出现外周角膜穿孔的病例,该病例发生在接受特拉洛金巴 (IL-13抑制剂) 治疗的患者身上,该患者接受了亚托皮性皮肤炎治疗. 早期的眼科评估和手术干预导致了有利的视觉恢复.
科学领域:
- 眼科医生 眼科 眼科
- 皮肤病学 皮肤病学
- 免疫学 免疫学 免疫学
背景情况:
- 亚托皮炎是一种慢性炎症性皮肤疾病.
- 生物疗法,包括IL-13抑制剂,如特拉洛金纽马布,越来越多地用于中度至重度的亚托皮性皮炎.
- 生物药物的眼部副作用需要仔细监测.
研究的目的:
- 报告与特拉洛金巴治疗相关的第一个记录的外周角膜穿孔病例.
- 为了突出IL-13向治疗的潜在严重眼部并发症.
主要方法:
- 进行了详细的临床检查,成像和全身检查.
- 手术管理包括角膜接和羊水膜移植.
- 患者在第三级医院进行了术后的随访.
主要成果:
- 一名接受特拉洛金纽马布治疗的66岁妇女自发发发出10毫米外围角膜穿孔.
- 感染性,自身免疫性和创伤性病因被排除在外.
- 经过手术修复和停止使用特拉洛金纽马布后,患者实现了完全的角膜愈合和视力敏度的改善.
结论:
- 这一病例是首次报告的与特拉洛金巴药物潜在相关的角膜穿孔.
- 意识到生物药物的罕见,危及视力的不良影响至关重要.
- 早期的眼科评估和多学科的管理对于治疗tralokinumab的患者至关重要.
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