Ocular side effects of Trametinib and Dabrafenib: a case report

Abstract A 53-year-old man who has stage 4 non-small cell lung carcinoma and treated with Dabrafenib-Trametinib combination chemotherapy; presented with decreased bilateral visual acuity. We checked out slit lamp examination, fundoscopy, optical coherence tomography and fundus fluorescein angiograph...

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Main Authors: Bilge Tarım, Meltem Kılıç
Format: Article
Language:English
Published: SpringerOpen 2023-04-01
Series:Journal of Ophthalmic Inflammation and Infection
Subjects:
Online Access:https://doi.org/10.1186/s12348-023-00339-0
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author Bilge Tarım
Meltem Kılıç
author_facet Bilge Tarım
Meltem Kılıç
author_sort Bilge Tarım
collection DOAJ
description Abstract A 53-year-old man who has stage 4 non-small cell lung carcinoma and treated with Dabrafenib-Trametinib combination chemotherapy; presented with decreased bilateral visual acuity. We checked out slit lamp examination, fundoscopy, optical coherence tomography and fundus fluorescein angiography. In slit lamp biomicroscopy; bilateral posterior synechiae, granulomatous keratic precipitates and + 4 cells in the anterior chamber were detected. Cystoid macular edema and subretinal fluid accumulation were revealed in optical coherence tomography. Dabrafenib and Trametinib treatments were discontinued and systemic methylprednisolone, topical corticosteroid and topical cyclopentolate were started. His best corrected visual acuity was increased from counting fingers from 2 m to 0,9 bilaterally and cystoid macular edema and serous retinal detachment were completely regressed as a result of systemic and topical corticosteroid treatment.
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spelling doaj.art-e22eabc4d9654a85a22e25c6d92716112023-04-16T11:22:11ZengSpringerOpenJournal of Ophthalmic Inflammation and Infection1869-57602023-04-011311810.1186/s12348-023-00339-0Ocular side effects of Trametinib and Dabrafenib: a case reportBilge Tarım0Meltem Kılıç1Department of Ophthalmology, University of Health Sciences, Ankara Bilkent City HospitalDepartment of Ophthalmology, University of Health Sciences, Ankara Bilkent City HospitalAbstract A 53-year-old man who has stage 4 non-small cell lung carcinoma and treated with Dabrafenib-Trametinib combination chemotherapy; presented with decreased bilateral visual acuity. We checked out slit lamp examination, fundoscopy, optical coherence tomography and fundus fluorescein angiography. In slit lamp biomicroscopy; bilateral posterior synechiae, granulomatous keratic precipitates and + 4 cells in the anterior chamber were detected. Cystoid macular edema and subretinal fluid accumulation were revealed in optical coherence tomography. Dabrafenib and Trametinib treatments were discontinued and systemic methylprednisolone, topical corticosteroid and topical cyclopentolate were started. His best corrected visual acuity was increased from counting fingers from 2 m to 0,9 bilaterally and cystoid macular edema and serous retinal detachment were completely regressed as a result of systemic and topical corticosteroid treatment.https://doi.org/10.1186/s12348-023-00339-0TrametinibDabrafenibUveitisCystoid macular edemaSerous retinal detachment
spellingShingle Bilge Tarım
Meltem Kılıç
Ocular side effects of Trametinib and Dabrafenib: a case report
Journal of Ophthalmic Inflammation and Infection
Trametinib
Dabrafenib
Uveitis
Cystoid macular edema
Serous retinal detachment
title Ocular side effects of Trametinib and Dabrafenib: a case report
title_full Ocular side effects of Trametinib and Dabrafenib: a case report
title_fullStr Ocular side effects of Trametinib and Dabrafenib: a case report
title_full_unstemmed Ocular side effects of Trametinib and Dabrafenib: a case report
title_short Ocular side effects of Trametinib and Dabrafenib: a case report
title_sort ocular side effects of trametinib and dabrafenib a case report
topic Trametinib
Dabrafenib
Uveitis
Cystoid macular edema
Serous retinal detachment
url https://doi.org/10.1186/s12348-023-00339-0
work_keys_str_mv AT bilgetarım ocularsideeffectsoftrametinibanddabrafenibacasereport
AT meltemkılıc ocularsideeffectsoftrametinibanddabrafenibacasereport