Intravitreal Adalimumab in Active Noninfectious Uveitis: A Pilot Study

Ocul Immunol Inflamm. 2016 Jun;24(3):319-26. doi: 10.3109/09273948.2014.990041. Epub 2014 Dec 30.

Abstract

Purpose: To evaluate the short-term efficacy of intravitreal adalimumab (IVA) for the treatment of eyes with active noninfectious uveitis.

Methods: Consecutive eyes with active noninfectious uveitis were injected with IVA at 0, 2, then every 4 weeks for total of 26 weeks.

Results: Six out of 7 patients (12 of 13 eyes) completed 26 weeks of treatment. One patient (1 eye) failed treatment. Seven out of 12 eyes had improvement of ≥2 ETDRS lines. Three out of three eyes had resolution of anterior chamber cells. And 9 of 10 eyes with vitreous haze had zero haze at 26 weeks. Five out of 8 eyes with macular edema had complete resolution. Median fluorescein angiography score improved from 14 to 4 on last follow-up.

Conclusions: IVA was effective in controlling the inflammation, decreasing the macular edema, and improving the best corrected visual acuity in the majority of eyes in this series.

Keywords: Adalimumab; intravitreal adalimumab; noninfectious uveitis; uveitis treatment.

MeSH terms

  • Adalimumab / therapeutic use*
  • Adult
  • Anterior Chamber / pathology
  • Anti-Inflammatory Agents / therapeutic use*
  • Eye Infections / drug therapy
  • Eye Infections / physiopathology
  • Female
  • Fluorescein Angiography
  • Humans
  • Intravitreal Injections
  • Macular Edema / diagnostic imaging
  • Macular Edema / drug therapy
  • Macular Edema / physiopathology
  • Male
  • Middle Aged
  • Pilot Projects
  • Prospective Studies
  • Tomography, Optical Coherence
  • Treatment Outcome
  • Tumor Necrosis Factor-alpha / antagonists & inhibitors*
  • Uveitis / diagnosis
  • Uveitis / drug therapy*
  • Uveitis / physiopathology
  • Visual Acuity / physiology
  • Vitreous Body / drug effects
  • Young Adult

Substances

  • Anti-Inflammatory Agents
  • Tumor Necrosis Factor-alpha
  • Adalimumab