The role of tocilizumab in the treatment of inflammatory diseases of the eye and orbit: A useful alternative

With uveitis being one of the leading causes of blindness worldwide, biological therapies have arisen as an option for the treatment of refractory cases based on good results shown in clinical practice. The goal of this study is to provide a systematic review of current knowledge of the role and pos...

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Published in:Journal francais d'ophtalmologie Vol. 41; no. 8; pp. 759 - 766
Main Authors: Ruiz-Medrano, J., Díaz-Valle, D., Cuiña, R., Gegúndez, J.A., Chhablani, J., Majumder, P.D., Gutierrez-Bonet, R.
Format: Journal Article
Language:English
Published: France Elsevier Masson SAS 01-10-2018
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Abstract With uveitis being one of the leading causes of blindness worldwide, biological therapies have arisen as an option for the treatment of refractory cases based on good results shown in clinical practice. The goal of this study is to provide a systematic review of current knowledge of the role and possible uses of tocilizumab in the field of ophthalmology. We performed a search for records reporting the use of tocilizumab for various diseases in MEDLINE (PubMed and OVID). We conducted an analysis of several individual studies and their reported individual patient data (82 eyes of 45 patients) published from 2011 to 2017. Tocilizumab may prove to be an effective choice for the treatment of a variety of ocular conditions such as refractory uveitis, inflammatory macular edema, vitreo-retinal tumors and thyroid orbitopathy, leading to control of the inflammation in these patients. Further studies need to be conducted to establish its safety and efficacy. Les uvéites sont une des causes principales de cécité dans le monde, et les thérapies biologiques ont apparues comme une option pour le traitement des cas réfractaires en tenant compte des bons résultats obtenus dans la clinique. L’objectif de cette étude est de réaliser une révision systématique de la connaissance actuelle du rôle et des possibles applications du tocilizumab en ophtalmologie. Une recherche des rapports d’utilisation du tocilizumab pour des différentes maladies a été effectuée sur MEDLINE (PubMed et OVID). Une analyse de plusieurs études individuelles a été faite sur 82 yeux de 45 patients, publiés du 2011 au 2017. Le Tocilizumab peut être le traitement de choix pour certaines pathologies oculaires comme les uvéites réfractaires, l’œdème maculaire réfractaire, les tumeurs vitréo-rétiniennes et l’orbitopathie thyroïdienne, aidant à contrôler l’inflammation de ces patients. Des études complémentaire doivent être conduites pour établir l’efficacité et la sécurité de ce produit.
AbstractList With uveitis being one of the leading causes of blindness worldwide, biological therapies have arisen as an option for the treatment of refractory cases based on good results shown in clinical practice. The goal of this study is to provide a systematic review of current knowledge of the role and possible uses of tocilizumab in the field of ophthalmology. We performed a search for records reporting the use of tocilizumab for various diseases in MEDLINE (PubMed and OVID). We conducted an analysis of several individual studies and their reported individual patient data (82 eyes of 45 patients) published from 2011 to 2017. Tocilizumab may prove to be an effective choice for the treatment of a variety of ocular conditions such as refractory uveitis, inflammatory macular edema, vitreo-retinal tumors and thyroid orbitopathy, leading to control of the inflammation in these patients. Further studies need to be conducted to establish its safety and efficacy. Les uvéites sont une des causes principales de cécité dans le monde, et les thérapies biologiques ont apparues comme une option pour le traitement des cas réfractaires en tenant compte des bons résultats obtenus dans la clinique. L’objectif de cette étude est de réaliser une révision systématique de la connaissance actuelle du rôle et des possibles applications du tocilizumab en ophtalmologie. Une recherche des rapports d’utilisation du tocilizumab pour des différentes maladies a été effectuée sur MEDLINE (PubMed et OVID). Une analyse de plusieurs études individuelles a été faite sur 82 yeux de 45 patients, publiés du 2011 au 2017. Le Tocilizumab peut être le traitement de choix pour certaines pathologies oculaires comme les uvéites réfractaires, l’œdème maculaire réfractaire, les tumeurs vitréo-rétiniennes et l’orbitopathie thyroïdienne, aidant à contrôler l’inflammation de ces patients. Des études complémentaire doivent être conduites pour établir l’efficacité et la sécurité de ce produit.
With uveitis being one of the leading causes of blindness worldwide, biological therapies have arisen as an option for the treatment of refractory cases based on good results shown in clinical practice. The goal of this study is to provide a systematic review of current knowledge of the role and possible uses of tocilizumab in the field of ophthalmology. We performed a search for records reporting the use of tocilizumab for various diseases in MEDLINE (PubMed and OVID). We conducted an analysis of several individual studies and their reported individual patient data (82 eyes of 45 patients) published from 2011 to 2017. Tocilizumab may prove to be an effective choice for the treatment of a variety of ocular conditions such as refractory uveitis, inflammatory macular edema, vitreo-retinal tumors and thyroid orbitopathy, leading to control of the inflammation in these patients. Further studies need to be conducted to establish its safety and efficacy.
Author Ruiz-Medrano, J.
Gutierrez-Bonet, R.
Majumder, P.D.
Díaz-Valle, D.
Gegúndez, J.A.
Cuiña, R.
Chhablani, J.
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/30217605$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright 2018 Elsevier Masson SAS
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DocumentTitleAlternate Le rôle du tocilizumab pour le traitement des maladies oculaires inflammatoires : une alternative utile
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Issue 8
Keywords Immunosuppressants
Uvéites
Tocilizumab
Uveitis
Biologic agents
Agents biologiques
Immunosuppresseurs
IL-6
Language English
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Snippet With uveitis being one of the leading causes of blindness worldwide, biological therapies have arisen as an option for the treatment of refractory cases based...
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SubjectTerms Agents biologiques
Antibodies, Monoclonal, Humanized - therapeutic use
Biologic agents
Eye Diseases - drug therapy
Humans
IL-6
Immunosuppressants
Immunosuppresseurs
Inflammation - drug therapy
Orbital Diseases - drug therapy
Tocilizumab
Treatment Outcome
Uveitis
Uvéites
Visual Acuity
Title The role of tocilizumab in the treatment of inflammatory diseases of the eye and orbit: A useful alternative
URI https://dx.doi.org/10.1016/j.jfo.2018.02.006
https://www.ncbi.nlm.nih.gov/pubmed/30217605
Volume 41
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