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CASE REPORT
Year : 2019  |  Volume : 67  |  Issue : 12  |  Page : 2075-2077

Case report: Bilateral uveitis and papillitis secondary to treatment with pembrolizumab


1 Department of Ophthalmology, Hospital, Madrid, Spain
2 Department of Rheumatology, Hospital, Madrid, Spain

Correspondence Address:
Mrs. Carmen Navarro-Perea
Street Doctor Esquerdo 166, Madrid - 28007, Spain
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1161_19

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Pembrolizumab is a programmed cell death protein 1 (PD-1) monoclonal antibody used in the treatment of metastatic melanomas. Severe ocular complications appear in less than 1% of the patients and require early treatment. We present the case of a patient diagnosed with a BRAF mutated metastatic melanoma. Ocular pain and a blurred vision appeared after treatment and the patient visited the ophthalmology emergency room, where he was diagnosed with acute anterior uveitis (AAU), synechiae, and bilateral papillitis. The patient was treated with topical corticosteroids, prednisone, and mydriatics, which immediately improved the patient's status. Therefore, when an ocular inflammatory disease exists, immune checkpoint inhibitor treatments must be ruled out as possible causes.


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