Macular Cystoid Edema Induced by Nab-Paclitaxel

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Titel: Macular Cystoid Edema Induced by Nab-Paclitaxel
Autoren: Jorge E. Moreira, Carolina Vale, Filipa Sampaio, Sara Pereira
Quelle: Acta Médica Portuguesa, Vol 35, Iss 4 (2022)
Verlagsinformationen: Ordem dos Medicos, 2022.
Publikationsjahr: 2022
Schlagwörter: Male, Albumins/adverse effects, Medicine (General), Paclitaxel, Adenocarcinoma, Middle Aged, Antineoplastic Agents, Phytogenic, Pancreatic Neoplasms, 03 medical and health sciences, R5-920, 0302 clinical medicine, Albumin-Bound Paclitaxel/adverse effects, Pancreatic Neoplasms/drug therapy, Albumins, Macular Edema/chemically induced, Paclitaxel/adverse effects, Medicine, Edema, Humans
Beschreibung: A 61-year old male was referred to the Ophthalmology department because of decreased bilateral visual acuity. The patient had metastatic pancreatic adenocarcinoma and was being treated with gemcitabine+nab-paclitaxel. On examination, the patient presented best corrected visual acuities of 4/20 and 2/20 in the right and left eye, respectively. The optical coherence tomography revealed bilateral severe macular edema. Macular edema was considered secondary to nab-paclitaxel and the drug was discontinued. Three months after drug discontinuation, the patient presented best corrected visual acuities of 20/20 and 16/20 in the right and left eye, respectively, and normal fundoscopy. Macular edema is a very rare side effect of taxanes, and the etiopathology is still unknown. Edema is usually reversible upon discontinuation of the offending agent. Clinicians should be aware of this adverse effect of taxanes, and a high index of clinical suspicion is essential for diagnosis.
Publikationsart: Article
ISSN: 1646-0758
0870-399X
DOI: 10.20344/amp.13421
Zugangs-URL: https://actamedicaportuguesa.com/revista/index.php/amp/article/download/13421/6399
https://pubmed.ncbi.nlm.nih.gov/34287143
https://doaj.org/article/f77993dfe5ed40c28d941d8ae626193c
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13421
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/download/13421/6399
https://www.ncbi.nlm.nih.gov/pubmed/34287143
Rights: CC BY NC ND
Dokumentencode: edsair.doi.dedup.....14b4fb9a2aaed9d5dde3b356b64d61d8
Datenbank: OpenAIRE
Beschreibung
Abstract:A 61-year old male was referred to the Ophthalmology department because of decreased bilateral visual acuity. The patient had metastatic pancreatic adenocarcinoma and was being treated with gemcitabine+nab-paclitaxel. On examination, the patient presented best corrected visual acuities of 4/20 and 2/20 in the right and left eye, respectively. The optical coherence tomography revealed bilateral severe macular edema. Macular edema was considered secondary to nab-paclitaxel and the drug was discontinued. Three months after drug discontinuation, the patient presented best corrected visual acuities of 20/20 and 16/20 in the right and left eye, respectively, and normal fundoscopy. Macular edema is a very rare side effect of taxanes, and the etiopathology is still unknown. Edema is usually reversible upon discontinuation of the offending agent. Clinicians should be aware of this adverse effect of taxanes, and a high index of clinical suspicion is essential for diagnosis.
ISSN:16460758
0870399X
DOI:10.20344/amp.13421