A novel side effect of mitogen-activated protein kinase inhibitor cobimetinib: Acute corneal decompensation

A 38-year-old man with a diagnosis of BRAF-mutated metastatic melanoma was referred to our clinic. He had been under treatment with 60-mg oral cobimetinib daily for 21 days/7 day off in combination with 960 mg vemurafenib twice daily. The patient had symptoms of blurred vision and photophobia in his...

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Main Authors: Mahmut Asfuroglu, Yonca Asfuroğlu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=12;spage=2073;epage=2075;aulast=Asfuroglu
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author Mahmut Asfuroglu
Yonca Asfuroğlu
author_facet Mahmut Asfuroglu
Yonca Asfuroğlu
author_sort Mahmut Asfuroglu
collection DOAJ
description A 38-year-old man with a diagnosis of BRAF-mutated metastatic melanoma was referred to our clinic. He had been under treatment with 60-mg oral cobimetinib daily for 21 days/7 day off in combination with 960 mg vemurafenib twice daily. The patient had symptoms of blurred vision and photophobia in his right eye. A slit-lamp examination revealed bilateral central corneal stromal opacity and epithelial microcystic edema Involvement was more severe in the right eye compared with the left eye. Fourteen days after the first visit, the patient's symptoms and slit-lamp findings were largely resolved. We suggest that endothelium pump failure was involved in this acute corneal decompensation case similar to the mechanism in retinal pigment epithelium.
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spelling doaj.art-bfcb2966493242f7a32db1ec620cb7e92022-12-21T18:59:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892019-01-0167122073207510.4103/ijo.IJO_2025_18A novel side effect of mitogen-activated protein kinase inhibitor cobimetinib: Acute corneal decompensationMahmut AsfurogluYonca AsfuroğluA 38-year-old man with a diagnosis of BRAF-mutated metastatic melanoma was referred to our clinic. He had been under treatment with 60-mg oral cobimetinib daily for 21 days/7 day off in combination with 960 mg vemurafenib twice daily. The patient had symptoms of blurred vision and photophobia in his right eye. A slit-lamp examination revealed bilateral central corneal stromal opacity and epithelial microcystic edema Involvement was more severe in the right eye compared with the left eye. Fourteen days after the first visit, the patient's symptoms and slit-lamp findings were largely resolved. We suggest that endothelium pump failure was involved in this acute corneal decompensation case similar to the mechanism in retinal pigment epithelium.http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=12;spage=2073;epage=2075;aulast=Asfuroglucorneal decompensationcobimetinibmek inhibitor
spellingShingle Mahmut Asfuroglu
Yonca Asfuroğlu
A novel side effect of mitogen-activated protein kinase inhibitor cobimetinib: Acute corneal decompensation
Indian Journal of Ophthalmology
corneal decompensation
cobimetinib
mek inhibitor
title A novel side effect of mitogen-activated protein kinase inhibitor cobimetinib: Acute corneal decompensation
title_full A novel side effect of mitogen-activated protein kinase inhibitor cobimetinib: Acute corneal decompensation
title_fullStr A novel side effect of mitogen-activated protein kinase inhibitor cobimetinib: Acute corneal decompensation
title_full_unstemmed A novel side effect of mitogen-activated protein kinase inhibitor cobimetinib: Acute corneal decompensation
title_short A novel side effect of mitogen-activated protein kinase inhibitor cobimetinib: Acute corneal decompensation
title_sort novel side effect of mitogen activated protein kinase inhibitor cobimetinib acute corneal decompensation
topic corneal decompensation
cobimetinib
mek inhibitor
url http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=12;spage=2073;epage=2075;aulast=Asfuroglu
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