Tocilizumab as an Effective Treatment Option in Children with Refractory Intermediate and Panuveitis.

Ocul Immunol Inflamm

Department of Ophthalmology, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.

Published: January 2021

: To describe the results of tocilizumab treatment in children with refractory non-anterior uveitis.: A case series of seven children with refractory non-anterior uveitis (onset ≤16 years) with leakage on fluorescein angiogram (FA) were treated with tocilizumab intravenously every 4 weeks (eight mg/kg). Minimum follow-up was 6 months. Reported outcomes are changes in BCVA, central macular thickness (CMT) on OCT image, FA scores, dose of systemic steroids, complications and side effects.: In all patients, there was an improvement of macular edema and capillary leakage on FA. The median FA score decreased from 14 (10-18) at baseline to 8 (2-9) after 6 months of treatment (p = .018). The CMT decreased from 321 (314-384) to 295 (255-312) (p = .043). BCVA improved in five eyes and worsened in one eye due to cataract. No systemic or ocular complications were reported.: Tocilizumab is an effective therapeutic option for reducing disease activity in children with refractory non-anterior uveitis.

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Source
http://dx.doi.org/10.1080/09273948.2020.1712431DOI Listing

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