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达雷妥尤单抗诱导的短暂性近视性移位。

Daratumumab-induced transient myopic shift.

作者信息

Mavrommatis Maria A, Jung Hoon, Chari Ajai, Barlogie Bart, Chelnis James G

机构信息

Icahn School of Medicine at Mount Sinai, 1468 Madison Ave, New York, NY, 10029, USA.

Department of Ophthalmology, University of Washington, Box 259608 325 Ninth Avenue, Seattle, WA, 98104, USA.

出版信息

Am J Ophthalmol Case Rep. 2018 Dec 18;13:116-118. doi: 10.1016/j.ajoc.2018.12.017. eCollection 2019 Mar.

DOI:10.1016/j.ajoc.2018.12.017
PMID:30619976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6312830/
Abstract

PURPOSE

To describe an unprecedented case of transient myopic shift induced by a chemotherapeutic agent, daratumumab.

OBSERVATIONS

A 43-year-old emmetropic female with multiple myeloma experienced sudden onset of myopic shift during her first intravenous dose of daratumumab, an increasingly common FDA-approved chemotherapeutic agent. Her myopia was corrected with -4D lenses in both eyes, and the patient reports cessation of symptoms and disuse of lenses after two days.

CONCLUSIONS AND IMPORTANCE

A number of medications have been documented to induce transitory myopic shift, and this report now includes daratumumab among such agents. Further clinical findings regarding the mechanism and frequency of daratumumab-induced myopic shift are needed to further develop our understanding of its tangential effect on the eye.

摘要

目的

描述一例由化疗药物达雷妥尤单抗引起的前所未有的短暂性近视偏移病例。

观察结果

一名43岁的正视眼女性多发性骨髓瘤患者,在首次静脉注射达雷妥尤单抗(一种美国食品药品监督管理局批准的日益常见的化疗药物)时突然出现近视偏移。她的双眼近视用-4D镜片矫正,患者报告两天后症状消失且不再使用镜片。

结论与重要性

已有多种药物被记录可诱发暂时性近视偏移,本报告现在将达雷妥尤单抗纳入此类药物。需要关于达雷妥尤单抗诱导近视偏移的机制和频率的进一步临床研究结果,以加深我们对其对眼睛的附带影响的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0c3/6312830/dd5e84a4f923/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0c3/6312830/c3259f14c36e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0c3/6312830/dd5e84a4f923/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0c3/6312830/c3259f14c36e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0c3/6312830/dd5e84a4f923/gr2.jpg

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本文引用的文献

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FDA Approval Summary: Daratumumab for Treatment of Multiple Myeloma After One Prior Therapy.FDA 批准概要:达雷妥尤单抗治疗既往接受过一种治疗的多发性骨髓瘤。
Oncologist. 2017 Nov;22(11):1347-1353. doi: 10.1634/theoncologist.2017-0229. Epub 2017 Sep 13.
2
Topiramate and the vision: a systematic review.托吡酯与视力:一项系统评价
Clin Ophthalmol. 2012;6:117-31. doi: 10.2147/OPTH.S27695. Epub 2012 Jan 12.
3
Review of sulfonamide-induced acute myopia and acute bilateral angle-closure glaucoma.磺胺类药物所致急性近视及急性双侧闭角型青光眼的综述。
Compr Ophthalmol Update. 2007 Sep-Oct;8(5):271-6.
4
Drug-induced acute myopia following chlorthalidone treatment.氯噻酮治疗后药物性急性近视
Indian J Ophthalmol. 2007 Sep-Oct;55(5):386-8. doi: 10.4103/0301-4738.33830.
5
Acute myopia while on oral isotretinoin treatment.
J Eur Acad Dermatol Venereol. 2007 Aug;21(7):977-8. doi: 10.1111/j.1468-3083.2007.01997.x.