Fingolimod-associated macular edema controlled with nepafenac non-steroidal anti-inflammatory opthalmologic applications.

Q2 Medicine
Clinical and Molecular Allergy Pub Date : 2020-03-12 eCollection Date: 2020-01-01 DOI:10.1186/s12948-020-00119-4
Rachel Husmann, John B Davies, Malik Ghannam, Brent Berry, Praful Kelkar
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引用次数: 5

Abstract

Background: Fingolimod, an immunomodulatory agent, is used for the treatment of relapsing-remitting multiple sclerosis (RRMS). Fingolimod-associated macular edema (FAME) is a known complication with an incidence of 0.4%. The current recommendation for treatment of FAME is cessation of fingolimod. There are few case reports with management of FAME with steroid eye drops.

Case presentation: A 38-year-old Caucasian female patient with history of relapsing-remitting multiple sclerosis (RRMS) and treated with fingolimod developed Fingolimod-associated macular edema (FAME). Nevertheless, FAME was successfully treated with nonsteroidal anti-inflammatory eye drops without discontinuation of fingolimod.

Conclusion: FAME may be managed with non-steroidal eye drops without discontinuation of fingolimod in appropriate patient monitored with close follow up.

Abstract Image

芬戈利莫相关的黄斑水肿控制与尼泊芬酸非甾体抗炎眼科应用。
背景:Fingolimod是一种免疫调节剂,用于治疗复发-缓解型多发性硬化症(RRMS)。芬戈利莫相关性黄斑水肿(FAME)是一种已知的并发症,发病率为0.4%。目前治疗FAME的建议是停用fingolimod。很少有使用类固醇滴眼液治疗FAME的病例报告。病例介绍:一名患有复发-缓解型多发性硬化症(RRMS)病史的38岁白人女性患者,接受芬戈莫德治疗后出现芬戈莫德相关性黄斑水肿(FAME)。尽管如此,使用非甾体抗炎滴眼液成功治疗了FAME,并且没有停药。结论:对适当的患者进行密切随访监测,可以使用非甾体性滴眼液治疗FAME,无需停药。
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来源期刊
Clinical and Molecular Allergy
Clinical and Molecular Allergy Medicine-Immunology and Allergy
CiteScore
8.20
自引率
0.00%
发文量
11
审稿时长
13 weeks
期刊介绍: Clinical and Molecular Allergy is an open access, peer-reviewed, online journal that publishes research on human allergic and immunodeficient disease (immune deficiency not related to HIV infection/AIDS). The scope of the journal encompasses all aspects of the clinical, genetic, molecular and inflammatory aspects of allergic-respiratory (Type 1 hypersensitivity) and non-AIDS immunodeficiency disorders. However, studies of allergic/hypersensitive aspects of HIV infection/AIDS or drug desensitization protocols in AIDS are acceptable. At the basic science level, this includes original work and reviews on the genetic and molecular mechanisms underlying the inflammatory response.
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