Abstract
The proliferation of targeted anticancer agents over the last two decades has revolutionized cancer treatment and improved survival in many previously refractory malignancies. However, many agents are associated with characteristic ophthalmic adverse effects. It is important that ophthalmologists recognize and maintain a high index of suspicion for these side effects in patients on targeted therapy. Most ophthalmic adverse effects can be treated with specific ocular therapy without discontinuation of cancer treatment, although it is important to be aware of the life-threatening and vision-threatening circumstances that would require therapy cessation in conjunction with the patient's oncologist. This review aims to summarize the ophthalmic adverse effects of targeted and hormonal anticancer agents and briefly describe their management.
MeSH terms
-
Agammaglobulinaemia Tyrosine Kinase / antagonists & inhibitors
-
Anaplastic Lymphoma Kinase / antagonists & inhibitors
-
Antineoplastic Agents, Hormonal / adverse effects*
-
Antineoplastic Agents, Hormonal / therapeutic use
-
Antineoplastic Agents, Immunological / adverse effects*
-
Antineoplastic Agents, Immunological / therapeutic use
-
Aromatase Inhibitors / adverse effects
-
Clinical Trials as Topic
-
Erb-b2 Receptor Tyrosine Kinases / antagonists & inhibitors
-
ErbB Receptors / antagonists & inhibitors
-
Eye / drug effects*
-
Fusion Proteins, bcr-abl / antagonists & inhibitors
-
Humans
-
Immune Checkpoint Inhibitors / adverse effects
-
Janus Kinase 2 / antagonists & inhibitors
-
Mitogen-Activated Protein Kinase Kinases / antagonists & inhibitors
-
Phosphoinositide-3 Kinase Inhibitors / adverse effects
-
Proto-Oncogene Proteins B-raf / antagonists & inhibitors
-
Receptor Protein-Tyrosine Kinases / antagonists & inhibitors
-
Receptors, Fibroblast Growth Factor / antagonists & inhibitors
-
Receptors, Vascular Endothelial Growth Factor / antagonists & inhibitors
-
Selective Estrogen Receptor Modulators / adverse effects
-
Severity of Illness Index
-
Toxic Optic Neuropathy / epidemiology*
-
fms-Like Tyrosine Kinase 3 / antagonists & inhibitors
Substances
-
Agammaglobulinaemia Tyrosine Kinase
-
Anaplastic Lymphoma Kinase
-
Antineoplastic Agents, Hormonal
-
Antineoplastic Agents, Immunological
-
Aromatase Inhibitors
-
ErbB Receptors
-
Fusion Proteins, bcr-abl
-
Immune Checkpoint Inhibitors
-
Janus Kinase 2
-
Mitogen-Activated Protein Kinase Kinases
-
Phosphoinositide-3 Kinase Inhibitors
-
Proto-Oncogene Proteins B-raf
-
Receptor Protein-Tyrosine Kinases
-
Erb-b2 Receptor Tyrosine Kinases
-
Receptors, Fibroblast Growth Factor
-
Receptors, Vascular Endothelial Growth Factor
-
Selective Estrogen Receptor Modulators
-
fms-Like Tyrosine Kinase 3
-
ERBB2 protein, human