Efficacy of golimumab on recurrent uveitis in HLA-B27-positive ankylosing spondylitis.

Abstract:

:To evaluate the efficacy of golimumab on severe and frequent recurrent anterior uveitis in patients with HLA-B27-positive ankylosing spondylitis. In this study, 15 eyes of 12 HLA-B27-positive AS patients with resistant anterior uveitis who received 50 mg of subcutaneous golimumab (Gol) per month due to frequent uveitis recurrences were analyzed retrospectively between May 2013 and October 2015. Assessment criteria were uveitis activity, the number of recurrence of uveitis, visual acuity, systemic corticosteroid, or other drug requirement for maintenance of remission of AU. Twelve patients (15 eyes) with HLA-B27-positive ankylosing spondylitis and anterior uveitis have been treated with golimumab 50 mg/month. Remission of uveitis was observed in 12 eyes out of 15. Malign hypertension developed in one subject after the second dose of golimumab therefore the treatment was stopped and this subject was excluded from the study. Median follow-up time was 11 months (interquartile range: 8-18). No uveitic reaction was seen except in the patient who stopped treatment. No topical or systemic steroid necessity was needed except in two cases with oral 4 mg systemic maintenance. Visual acuity was significantly increased (p = 0.002). Golimumab may be a new and effective choice for maintaining remission and the prevention of recurrences of severe, resistant anterior uveitis in patients with HLA-B27-positive ankylosing spondylitis.

journal_name

Int Ophthalmol

authors

Yazgan S,Celik U,Işık M,Yeşil NK,Baki AE,Şahin H,Gencer E,Doğan İ

doi

10.1007/s10792-016-0239-y

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

139-145

issue

1

eissn

0165-5701

issn

1573-2630

pii

10.1007/s10792-016-0239-y

journal_volume

37

pub_type

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