Combination nivolumab- and cabiralizumab-associated acute bilateral anterior and posterior scleritis and anterior uveitis

Purpose: To report on a case of uveitis and scleritis resulting as an immune-mediated side effect of cancer immunotherapy with nivolumab and cabiralizumab. Observations: Bilateral anterior nongranulomatous anterior uveitis and bilateral diffuse anterior and posterior scleritis occurred following the...

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Main Authors: John A. Gonzales, Jessica Shantha, Nisha R. Acharya
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993617301044
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author John A. Gonzales
Jessica Shantha
Nisha R. Acharya
author_facet John A. Gonzales
Jessica Shantha
Nisha R. Acharya
author_sort John A. Gonzales
collection DOAJ
description Purpose: To report on a case of uveitis and scleritis resulting as an immune-mediated side effect of cancer immunotherapy with nivolumab and cabiralizumab. Observations: Bilateral anterior nongranulomatous anterior uveitis and bilateral diffuse anterior and posterior scleritis occurred following the use of combination cancer immunotherapy. The uveitis and scleritis resolved following temporary discontinuation of nivolumab and cabiralizumab as well as systemic prednisone. Conclusions and importance: Ophthalmologists should be aware of the possibility of acute ocular inflammation developing with cancer immunotherapy. Systemic corticosteroids play a first-line role in managing such immune-mediated side effects. Keywords: Uveitis, Scleritis, Cancer immunotherapy, Side effects, Nivolumab, Cabiralizumab
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spelling doaj.art-5438dff8fce54bbcb0bc52594199bbfd2022-12-21T23:58:21ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-06-0110117118Combination nivolumab- and cabiralizumab-associated acute bilateral anterior and posterior scleritis and anterior uveitisJohn A. Gonzales0Jessica Shantha1Nisha R. Acharya2F.I. Proctor Foundation, University of California, San Francisco, United States; Department of Ophthalmology, University of California, San Francisco, United States; Corresponding author. F.I. Proctor Foundation, Department of Ophthalmology, University of California, San Francisco, 95 Kirkham Street, San Francisco, CA, 94147, United States.F.I. Proctor Foundation, University of California, San Francisco, United States; Department of Ophthalmology, University of California, San Francisco, United StatesF.I. Proctor Foundation, University of California, San Francisco, United States; Department of Ophthalmology, University of California, San Francisco, United StatesPurpose: To report on a case of uveitis and scleritis resulting as an immune-mediated side effect of cancer immunotherapy with nivolumab and cabiralizumab. Observations: Bilateral anterior nongranulomatous anterior uveitis and bilateral diffuse anterior and posterior scleritis occurred following the use of combination cancer immunotherapy. The uveitis and scleritis resolved following temporary discontinuation of nivolumab and cabiralizumab as well as systemic prednisone. Conclusions and importance: Ophthalmologists should be aware of the possibility of acute ocular inflammation developing with cancer immunotherapy. Systemic corticosteroids play a first-line role in managing such immune-mediated side effects. Keywords: Uveitis, Scleritis, Cancer immunotherapy, Side effects, Nivolumab, Cabiralizumabhttp://www.sciencedirect.com/science/article/pii/S2451993617301044
spellingShingle John A. Gonzales
Jessica Shantha
Nisha R. Acharya
Combination nivolumab- and cabiralizumab-associated acute bilateral anterior and posterior scleritis and anterior uveitis
American Journal of Ophthalmology Case Reports
title Combination nivolumab- and cabiralizumab-associated acute bilateral anterior and posterior scleritis and anterior uveitis
title_full Combination nivolumab- and cabiralizumab-associated acute bilateral anterior and posterior scleritis and anterior uveitis
title_fullStr Combination nivolumab- and cabiralizumab-associated acute bilateral anterior and posterior scleritis and anterior uveitis
title_full_unstemmed Combination nivolumab- and cabiralizumab-associated acute bilateral anterior and posterior scleritis and anterior uveitis
title_short Combination nivolumab- and cabiralizumab-associated acute bilateral anterior and posterior scleritis and anterior uveitis
title_sort combination nivolumab and cabiralizumab associated acute bilateral anterior and posterior scleritis and anterior uveitis
url http://www.sciencedirect.com/science/article/pii/S2451993617301044
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