Medical Therapy of Uveitic Macular Edema: Biologic Agents.

Aleksandra Radosavljevic, Mamta Agarwal, Bahram Bodaghi, Justine R Smith, Manfred Zierhut

Ocular immunology and inflammation 2020 Nov 16

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Introduction: Uveitic macular edema (UME) is a significant cause of visual impairment in all uveitis types. Methods: Reports that were cited in the MEDLINE database, that analyzed the effectiveness of biologics for UME in at least five patients, with a minimum follow-up of 3 months, published prior to April 1, 2019 were included. Reports that did not compare UME findings before and after the therapy, using either OCT or fluorescein angiography, were excluded. Results: Case series that analyzed the efficacy of intravitreal anti-VEGF agents showed modest, short-term benefit. Studies that investigated systemic anti-TNF agents in patients with noninfectious uveitis reported a therapeutic effect on UME. Anti-IL-6 antibodies have shown promising results for most severe cases of noninfectious UME. Interferon represents an option for patients with persistent UME in infectious and noninfectious uveitis. Conclusion: Multicenter, randomized controlled trials are needed to assess the effectiveness of each group of biologic agents in sufficient number of patients.

Citation

Aleksandra Radosavljevic, Mamta Agarwal, Bahram Bodaghi, Justine R Smith, Manfred Zierhut. Medical Therapy of Uveitic Macular Edema: Biologic Agents. Ocular immunology and inflammation. 2020 Nov 16;28(8):1239-1250