Recent Advances in the Treatment of Ocular Complications of Rheumatoid Arthritis: A review of current literature

Introduction: Rheumatoid arthritis (RA) is an inflammatory autoimmune disease that often causes ocular complications, of which keratoconjunctivitis sicca (KCS), scleritis and episcleritis are the most common entities. When left untreated, they can adversely affect eye health and cause vision loss in...

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Main Authors: Olgerd Duchnevič, Iwona Galasińska, Beniamin Michalik, Katarzyna Hajduk-Maślak, Aleksandra Szypuła, Michał Sęk, Adrianna Skóra
Format: Article
Language:English
Published: Kazimierz Wielki University 2024-02-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/48109
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author Olgerd Duchnevič
Iwona Galasińska
Beniamin Michalik
Katarzyna Hajduk-Maślak
Aleksandra Szypuła
Michał Sęk
Adrianna Skóra
author_facet Olgerd Duchnevič
Iwona Galasińska
Beniamin Michalik
Katarzyna Hajduk-Maślak
Aleksandra Szypuła
Michał Sęk
Adrianna Skóra
author_sort Olgerd Duchnevič
collection DOAJ
description Introduction: Rheumatoid arthritis (RA) is an inflammatory autoimmune disease that often causes ocular complications, of which keratoconjunctivitis sicca (KCS), scleritis and episcleritis are the most common entities. When left untreated, they can adversely affect eye health and cause vision loss in severe cases. Therefore, early and effective treatment of ophthalmic complications may significantly improve visual outcomes in patients with rheumatoid arthritis. Aim of the study: The aim of the study was to compile and analyze the current literature on the treatment of the most prevalent ocular manifestation associated with RA. Special emphasis was placed on recently approved drugs and those in late-stage clinical trials. Methods and materials: Publication research was conducted using the PubMed database and Google Scholar with a primary focus on literature from the past 10 years. Firstly, common ocular complications of rheumatoid arthritis were identified and relevant treatment modalities were extracted for further analysis. Finally, the names of relevant drugs or drug classes were used along with the names of the aforementioned disease entities to discover clinical trials regarding their efficacy and safety. Additionally, references from selected manuscripts were included. Summary: The landscape of treatment for ocular complications associated with RA offers a promising future for patients and clinicians. Three new therapeutic modalities for dry eye disease have been approved in 2023, and three additional drugs are in late-stage clinical trials. Furthermore, recent advances in biologic therapy have shown considerable promise in treating scleritis, especially in patients refractory to conventional treatment or with severe symptoms of the disease.
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spelling doaj.art-0b3ac007c25145259ca0ef254dac6c572024-02-18T11:53:03ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062024-02-015910.12775/JEHS.2024.59.007Recent Advances in the Treatment of Ocular Complications of Rheumatoid Arthritis: A review of current literatureOlgerd Duchnevič0Iwona Galasińska1Beniamin Michalik2Katarzyna Hajduk-Maślak3Aleksandra Szypuła4Michał Sęk5Adrianna Skóra6Ludwik Rydygier Memorial Hospital in CracowIndependent Public Healthcare Centre in Proszowice, ul. Mikołaja Kopernika 13, 32-100 ProszowiceNZOZ SANA-MED, Osiedle Dywizjonu 303 2, 31-871 KrakówLUX MED Sp. z o.o., ul. Opolska 110, 31-355 KrakówCM Medycyna Rodzinna General Practice Center, Frycza-Modrzewskiego 2, 31-216 KrakówJagiellonian University Medical College, ul. św. Anny 12, 31-008 KrakówIndependent Public Health Care Facility in Myslenice, ul. Szpitalna 2, 32-400 MyśleniceIntroduction: Rheumatoid arthritis (RA) is an inflammatory autoimmune disease that often causes ocular complications, of which keratoconjunctivitis sicca (KCS), scleritis and episcleritis are the most common entities. When left untreated, they can adversely affect eye health and cause vision loss in severe cases. Therefore, early and effective treatment of ophthalmic complications may significantly improve visual outcomes in patients with rheumatoid arthritis. Aim of the study: The aim of the study was to compile and analyze the current literature on the treatment of the most prevalent ocular manifestation associated with RA. Special emphasis was placed on recently approved drugs and those in late-stage clinical trials. Methods and materials: Publication research was conducted using the PubMed database and Google Scholar with a primary focus on literature from the past 10 years. Firstly, common ocular complications of rheumatoid arthritis were identified and relevant treatment modalities were extracted for further analysis. Finally, the names of relevant drugs or drug classes were used along with the names of the aforementioned disease entities to discover clinical trials regarding their efficacy and safety. Additionally, references from selected manuscripts were included. Summary: The landscape of treatment for ocular complications associated with RA offers a promising future for patients and clinicians. Three new therapeutic modalities for dry eye disease have been approved in 2023, and three additional drugs are in late-stage clinical trials. Furthermore, recent advances in biologic therapy have shown considerable promise in treating scleritis, especially in patients refractory to conventional treatment or with severe symptoms of the disease. https://apcz.umk.pl/JEHS/article/view/48109rheumatoid arthritisscleritisepiscleritisocular inflammationdry eye syndromekeratoconjunctivitis sicca
spellingShingle Olgerd Duchnevič
Iwona Galasińska
Beniamin Michalik
Katarzyna Hajduk-Maślak
Aleksandra Szypuła
Michał Sęk
Adrianna Skóra
Recent Advances in the Treatment of Ocular Complications of Rheumatoid Arthritis: A review of current literature
Journal of Education, Health and Sport
rheumatoid arthritis
scleritis
episcleritis
ocular inflammation
dry eye syndrome
keratoconjunctivitis sicca
title Recent Advances in the Treatment of Ocular Complications of Rheumatoid Arthritis: A review of current literature
title_full Recent Advances in the Treatment of Ocular Complications of Rheumatoid Arthritis: A review of current literature
title_fullStr Recent Advances in the Treatment of Ocular Complications of Rheumatoid Arthritis: A review of current literature
title_full_unstemmed Recent Advances in the Treatment of Ocular Complications of Rheumatoid Arthritis: A review of current literature
title_short Recent Advances in the Treatment of Ocular Complications of Rheumatoid Arthritis: A review of current literature
title_sort recent advances in the treatment of ocular complications of rheumatoid arthritis a review of current literature
topic rheumatoid arthritis
scleritis
episcleritis
ocular inflammation
dry eye syndrome
keratoconjunctivitis sicca
url https://apcz.umk.pl/JEHS/article/view/48109
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