Ocular side effects of Trametinib and Dabrafenib: a case report.

IF 2.9 Q1 OPHTHALMOLOGY
Bilge Tarım, Meltem Kılıç
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引用次数: 2

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.

Abstract Image

Abstract Image

Abstract Image

曲美替尼和达非尼的眼部副作用1例报告。
53岁男性4期非小细胞肺癌患者,接受达非尼-曲美替尼联合化疗;表现为双侧视力下降。我们检查了裂隙灯检查、眼底镜检查、光学相干断层扫描和眼底荧光素血管造影。裂隙灯生物显微镜;双侧后粘连、肉芽肿性角化沉淀及前房+ 4细胞。光学相干断层扫描显示黄斑囊样水肿和视网膜下积液。停用达非尼和曲美替尼治疗,开始全身甲强的松龙、局部皮质类固醇和局部环戊酸酯治疗。通过全身和局部皮质类固醇治疗,患者的最佳矫正视力从数指2米增加到双侧0.9米,黄斑囊样水肿和浆液性视网膜脱离完全消退。
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来源期刊
CiteScore
3.80
自引率
3.40%
发文量
39
审稿时长
13 weeks
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