Department of Ophthalmology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Drugs. 2021 May;81(7):771-823. doi: 10.1007/s40265-021-01507-z. Epub 2021 Mar 31.
The proliferation of targeted anticancer agents over the last two decades has revolutionized cancer treatment and improved survival in many previously refractory malignancies. However, many agents are associated with characteristic ophthalmic adverse effects. It is important that ophthalmologists recognize and maintain a high index of suspicion for these side effects in patients on targeted therapy. Most ophthalmic adverse effects can be treated with specific ocular therapy without discontinuation of cancer treatment, although it is important to be aware of the life-threatening and vision-threatening circumstances that would require therapy cessation in conjunction with the patient's oncologist. This review aims to summarize the ophthalmic adverse effects of targeted and hormonal anticancer agents and briefly describe their management.
在过去的二十年中,针对癌症的靶向治疗药物的大量涌现彻底改变了癌症的治疗方式,并提高了许多以前难以治疗的恶性肿瘤的生存率。然而,许多药物都与特定的眼部不良反应有关。眼科医生在对接受靶向治疗的患者进行治疗时,必须认识到这些副作用,并保持高度警惕。大多数眼部不良反应都可以通过特定的眼部治疗来治疗,而无需停止癌症治疗,尽管了解可能需要停止癌症治疗以联合患者的肿瘤医生进行治疗的危及生命和威胁视力的情况很重要。本文旨在总结靶向治疗和激素治疗药物的眼部不良反应,并简要描述其治疗方法。