Case report: Bilateral uveitis and papillitis secondary to treatment with pembrolizumab
Loading...
Date
2019-12
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
Pembrolizumab is a programmed cell death protein 1 (PD-1) monoclonal antibody used in the treatment of metastatic melanomas. Severe ocular complications appear in less than 1% of the patients and require early treatment. We present the case of a patient diagnosed with a BRAF mutated metastatic melanoma. Ocular pain and a blurred vision appeared after treatment and the patient visited the ophthalmology emergency room, where he was diagnosed with acute anterior uveitis (AAU), synechiae, and bilateral papillitis. The patient was treated with topical corticosteroids, prednisone, and mydriatics, which immediately improved the patient's status. Therefore, when an ocular inflammatory disease exists, immune checkpoint inhibitor treatments must be ruled out as possible causes.
Description
Keywords
CTLA-4, melanoma, papillitis, PD-1, pembrolizumab, uveitis
Citation
Navarro-Perea C, Garcia-Gonzalez J, Perez-Blazquez E. Case report: Bilateral uveitis and papillitis secondary to treatment with pembrolizumab. Indian Journal of Ophthalmology. 2019 Dec; 67(12): 2075-2077