Checkpoint inhibitor-induced uveitis: a case series

Graefes Arch Clin Exp Ophthalmol. 2018 Jan;256(1):187-191. doi: 10.1007/s00417-017-3835-2. Epub 2017 Oct 27.

Abstract

Purpose: Checkpoint inhibitors are now a common treatment modality for metastatic cancer. In this manuscript, we describe the clinical features and management of autoimmune non-infectious uveitis induced by this class of drugs.

Methods: Seven patients undergoing checkpoint inhibitor treatment for metastatic cancer from uveitis practices at three tertiary referral centers.

Results: All seven patients developed various severities of ocular inflammatory disease while taking checkpoint inhibitors for metastatic disease.

Conclusions: Checkpoint inhibitors may induce autoimmune uveitis. Ocular complaints should prompt an early evaluation by an ophthalmologist.

Keywords: Autoimmune uveitis; Checkpoint inhibitors; Metastatic cancer.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Agents, Immunological / adverse effects*
  • Antineoplastic Agents, Immunological / therapeutic use
  • Eye Neoplasms / diagnosis
  • Eye Neoplasms / drug therapy*
  • Eye Neoplasms / secondary*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Metastasis
  • Uveitis / chemically induced*
  • Uveitis / diagnosis
  • Uveitis / immunology

Substances

  • Antineoplastic Agents, Immunological