Primary Vitreoretinal Lymphoma Therapy Monitoring: Significant Vitreous Haze Reduction After Intravitreal Rituximab
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Primary Vitreoretinal Lymphoma Therapy Monitoring: Significant Vitreous Haze Reduction After Intravitreal Rituximab. / Kakkassery, Vinodh; Heindl, Ludwig M; Rokohl, Alexander C; Chronopoulos, Arygrios; Schutz, James S; Ranjbar, Mahdy; Schargus, Marc; Böker, Alexander; Winterhalter, Sibylle; Stübiger, Nicole.
in: NEUROSIGNALS, Jahrgang 29, Nr. S1, 05.05.2021, S. 1-7.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Primary Vitreoretinal Lymphoma Therapy Monitoring: Significant Vitreous Haze Reduction After Intravitreal Rituximab
AU - Kakkassery, Vinodh
AU - Heindl, Ludwig M
AU - Rokohl, Alexander C
AU - Chronopoulos, Arygrios
AU - Schutz, James S
AU - Ranjbar, Mahdy
AU - Schargus, Marc
AU - Böker, Alexander
AU - Winterhalter, Sibylle
AU - Stübiger, Nicole
N1 - © Copyright by the Author(s). Published by Cell Physiol Biochem Press.
PY - 2021/5/5
Y1 - 2021/5/5
N2 - BACKGROUND/AIMS: Intravitreal rituximab is an off-label treatment option for primary vitreoretinal lymphoma (PVRL). The objective of this study was to monitor the therapeutic response and safety profile of intravitreal rituximab in a cohort of PVRL patients.METHODS: In this retrospective, uncontrolled, open label, multicentre study, 20 eyes from 15 consecutive patients diagnosed with PRVL received at least one intravitreal injection of 1mg in 0.1ml rituximab. Biodata of the PVRL patients was recorded as well as visual acuity and vitreous haze score immediately before rituximab intravitreal injection and at follow-up examinations. Intravitreal rituximab safety data was also recorded. Additional rituximab injections were made during control visits on a pro re nata (PRN) regime using increased vitreous haze to indicate recurrence.RESULTS: There was significant vitreous haze reduction (p=0.0002) followed by significant improvement of visual acuity (mean best visual acuity before therapy 0.57 logMAR, after therapy 0.20 logMAR (p=0.0228) during the follow-up time up to 4 years. Only mild ocular side effects were reported. Median follow-up time was 565 days (range, 7-1253 days).CONCLUSION: Intravitreal rituximab therapy shows promising PVRL regression without any severe side effects. Although our clinical data support rituximab as intravitreal therapy in PVRL disease, further study is warranted.
AB - BACKGROUND/AIMS: Intravitreal rituximab is an off-label treatment option for primary vitreoretinal lymphoma (PVRL). The objective of this study was to monitor the therapeutic response and safety profile of intravitreal rituximab in a cohort of PVRL patients.METHODS: In this retrospective, uncontrolled, open label, multicentre study, 20 eyes from 15 consecutive patients diagnosed with PRVL received at least one intravitreal injection of 1mg in 0.1ml rituximab. Biodata of the PVRL patients was recorded as well as visual acuity and vitreous haze score immediately before rituximab intravitreal injection and at follow-up examinations. Intravitreal rituximab safety data was also recorded. Additional rituximab injections were made during control visits on a pro re nata (PRN) regime using increased vitreous haze to indicate recurrence.RESULTS: There was significant vitreous haze reduction (p=0.0002) followed by significant improvement of visual acuity (mean best visual acuity before therapy 0.57 logMAR, after therapy 0.20 logMAR (p=0.0228) during the follow-up time up to 4 years. Only mild ocular side effects were reported. Median follow-up time was 565 days (range, 7-1253 days).CONCLUSION: Intravitreal rituximab therapy shows promising PVRL regression without any severe side effects. Although our clinical data support rituximab as intravitreal therapy in PVRL disease, further study is warranted.
KW - Humans
KW - Intraocular Lymphoma
KW - Neoplasm Recurrence, Local
KW - Retinal Neoplasms/diagnosis
KW - Retrospective Studies
KW - Rituximab/therapeutic use
KW - Vitreous Body
U2 - 10.33594/000000367
DO - 10.33594/000000367
M3 - SCORING: Journal article
C2 - 33945240
VL - 29
SP - 1
EP - 7
JO - NEUROSIGNALS
JF - NEUROSIGNALS
SN - 1424-862X
IS - S1
ER -