Dexamethasone intravitreal implant in cystoid macular edema secondary to paclitaxel therapy

Purpose: To report the first case of cystoid macular edema (CME) induced by nabpaclitaxel treated with intravitreal dexamethasone implant. Observations: A 67 year-old man diagnosed with unresectable pancreatic cancer presented with decreased vision in both eyes while receiving nab-paclitaxel. He was...

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Main Authors: Barbara Burgos-Blasco, Samuel Hernandez-Ruiz, Lorenzo Lopez-Guajardo, Juan Donate-Lopez
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993620300347
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author Barbara Burgos-Blasco
Samuel Hernandez-Ruiz
Lorenzo Lopez-Guajardo
Juan Donate-Lopez
author_facet Barbara Burgos-Blasco
Samuel Hernandez-Ruiz
Lorenzo Lopez-Guajardo
Juan Donate-Lopez
author_sort Barbara Burgos-Blasco
collection DOAJ
description Purpose: To report the first case of cystoid macular edema (CME) induced by nabpaclitaxel treated with intravitreal dexamethasone implant. Observations: A 67 year-old man diagnosed with unresectable pancreatic cancer presented with decreased vision in both eyes while receiving nab-paclitaxel. He was diagnosed with CME and intravitreal dexamethasone implants were administered in both eyes. Central retinal thickness (CRT) of both eye decreased 1 month after the implant but CME persisted. 2 months after Ozurdex implant nabpaclitaxel was discontinued, improving central macular thickness and the CME significantly in both eyes. Conclusion and importance: Cessation of nab-paclitaxel could lead to resolution of CME more than intravitreal dexamethasone implant, although intravitreal dexamethasone implant achieved some reduction in central macular thickness.
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spelling doaj.art-42c2cbc229ea48829b215358e45f1c432022-12-22T01:22:21ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-06-0118Dexamethasone intravitreal implant in cystoid macular edema secondary to paclitaxel therapyBarbara Burgos-Blasco0Samuel Hernandez-Ruiz1Lorenzo Lopez-Guajardo2Juan Donate-Lopez3Corresponding author. Hospital Clinico San Carlos, C/ Prof Martin Lagos s/n. 28040, Madrid, Spain.; Ophthalmology Department, Hospital Clinico San Carlos, Madrid, SpainOphthalmology Department, Hospital Clinico San Carlos, Madrid, SpainOphthalmology Department, Hospital Clinico San Carlos, Madrid, SpainOphthalmology Department, Hospital Clinico San Carlos, Madrid, SpainPurpose: To report the first case of cystoid macular edema (CME) induced by nabpaclitaxel treated with intravitreal dexamethasone implant. Observations: A 67 year-old man diagnosed with unresectable pancreatic cancer presented with decreased vision in both eyes while receiving nab-paclitaxel. He was diagnosed with CME and intravitreal dexamethasone implants were administered in both eyes. Central retinal thickness (CRT) of both eye decreased 1 month after the implant but CME persisted. 2 months after Ozurdex implant nabpaclitaxel was discontinued, improving central macular thickness and the CME significantly in both eyes. Conclusion and importance: Cessation of nab-paclitaxel could lead to resolution of CME more than intravitreal dexamethasone implant, although intravitreal dexamethasone implant achieved some reduction in central macular thickness.http://www.sciencedirect.com/science/article/pii/S2451993620300347Cystoid macular edemaPaclitaxelIntravitreal dexamethasone implant
spellingShingle Barbara Burgos-Blasco
Samuel Hernandez-Ruiz
Lorenzo Lopez-Guajardo
Juan Donate-Lopez
Dexamethasone intravitreal implant in cystoid macular edema secondary to paclitaxel therapy
American Journal of Ophthalmology Case Reports
Cystoid macular edema
Paclitaxel
Intravitreal dexamethasone implant
title Dexamethasone intravitreal implant in cystoid macular edema secondary to paclitaxel therapy
title_full Dexamethasone intravitreal implant in cystoid macular edema secondary to paclitaxel therapy
title_fullStr Dexamethasone intravitreal implant in cystoid macular edema secondary to paclitaxel therapy
title_full_unstemmed Dexamethasone intravitreal implant in cystoid macular edema secondary to paclitaxel therapy
title_short Dexamethasone intravitreal implant in cystoid macular edema secondary to paclitaxel therapy
title_sort dexamethasone intravitreal implant in cystoid macular edema secondary to paclitaxel therapy
topic Cystoid macular edema
Paclitaxel
Intravitreal dexamethasone implant
url http://www.sciencedirect.com/science/article/pii/S2451993620300347
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AT lorenzolopezguajardo dexamethasoneintravitrealimplantincystoidmacularedemasecondarytopaclitaxeltherapy
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