INTRAVITREOUS METHOTREXATE AND RITUXIMAB FOR BILATERAL DIFFUSE UVEAL MELANOCYTIC PROLIFERATION.
Jasmine H Francis, Julia Canestraro, David H Abramson
✦ AI-curated · Sources linked
From the abstract
To investigate the utility of intravitreous methotrexate and rituximab in the treatment of Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP).
Reported results
Five eyes of three male patients with BDUMP received 39 combination injections of intravitreous methotrexate and rituximab. The median follow-up period was 48.2 months; all eyes exhibited a decrease in central foveal thickness and subfoveal fluid and an improvement in vision at some point from baseline.
Authors' conclusions
Intravitreous methotrexate and rituximab may be a useful, well-tolerated adjunctive treatment for BDUMP. Improvements in central foveal thickness and subfoveal fluid were noted following injections and over the follow-up period. Unlike the often, rapid decline in vision that is expected of this paraneoplastic disease, the eyes in this cohort appeared to have more favorable outcomes.