Efficacy of monoclonal anti-tumour necrosis factor-α antibodies in uveitic macular oedema

OBJECTIVES: To assess the efficacy of anti-tumour necrosis factor (TNF)-α agents in the treatment of refractory uveitic macular oedema (UME).

METHODS: Patients with refractory UME treated with TNF-α blockers were retrospectively enrolled. Central macular thickness (CMT) was assessed at optical coherence tomography (OCT) at the start of TNF-α inhibition, after 3 and 12 months, and at the last follow-up visit.

RESULTS: Thirty-six patients (56 eyes with UME) were enrolled. The mean follow-up period was 29.9±40.8 (4-184) months. A statistically significant decrease was observed in the frequency of UME (p<0.0001) and in the mean CMT values (p<0.0001) during the study period. Best corrected visual acuity improved in 35 eyes (62.5%), remained stable in 12 eyes (21.4%), reduced in 9 eyes (16.1%). The mean corticosteroid dosage significantly decreased during the study period (p=0.016).

CONCLUSIONS: TNF-α inhibitors represent a useful treatment in patients with severe or resistant UME.

Medienart:

Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:38

Enthalten in:

Clinical and experimental rheumatology - 38(2020), 4 vom: 14. Juli, Seite 621-625

Sprache:

Englisch

Beteiligte Personen:

Tosi, Gian Marco [VerfasserIn]
Vitale, Antonio [VerfasserIn]
Rigante, Donato [VerfasserIn]
Sota, Jurgen [VerfasserIn]
Emmi, Giacomo [VerfasserIn]
Lopalco, Giuseppe [VerfasserIn]
Guerriero, Silvana [VerfasserIn]
Iannone, Florenzo [VerfasserIn]
Vannozzi, Lorenzo [VerfasserIn]
Bitossi, Alice [VerfasserIn]
Frediani, Bruno [VerfasserIn]
Cantarini, Luca [VerfasserIn]
Fabiani, Claudia [VerfasserIn]

Themen:

Journal Article
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 17.09.2020

Date Revised 17.09.2020

published: Print-Electronic

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM302987584