Branch retinal vein occlusion in a case of recalcitrant diffuse anterior scleritis treated with tofacitinib

Anitha Manoharan1, Harshita Atmakur1, Parthopratim Dutta Majumder1, Jyotirmay Biswas2
1Department of Uvea, Nungambakkam, India
2Director of Uveitis and Ocular Pathology Department, Nungambakkam, Chennai, India

Tóm tắt

A 47-year-old woman with hypertension and rheumatoid arthritis presented with non-necrotizing scleritis in both eyes. Despite a course of oral corticosteroids, she continued to experience persistent symptoms. A rheumatologist was consulted and initiated treatment with tofacitinib, a JAK/STAT inhibitor. Treatment with tofacitinib and oral corticosteroids resulted in an improvement in the scleritis in both eyes. However, a fundus examination of her left eye revealed a superior-temporal branch retinal vein occlusion. Given the growing concern regarding the increased risk of thromboembolic events with tofacitinib therapy, it is essential to consider the risk of retinal vascular occlusions when starting tofacitinib therapy, particularly in patients with underlying systemic comorbidities.

Tài liệu tham khảo

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