Table 3.
Study | Design | Patients | Eyes | Previous treatment of DON with ivMP /OD/ORT | Simultaneous treatment | Tocilizumab infusionsa | Resolution of DONc-% of all eyes | FU in weeks | Recurrence of DON during FU | OD after Tocilizumab during FU |
---|---|---|---|---|---|---|---|---|---|---|
Mehmet et al. [72] | Case report | 1 | 2 | ivMP, ORT | – | 4 | 100% | 12 | No | No |
Kaplan et al. [76] | Case report | 1 | 1 | ivMP, OD, ORT | – | 11 | 100% | 84 | Yese | No |
Pascual-Camps et al. [71] | Case report | 1 | 2 | – | – | 4 | 100% | 64 | No | No |
Maldiney et al. [75] | Case report | 1 | 1 | ivMP | ivMP | 8 | 100% | 28 | No | No |
Rodríguez et al. [74] | Case report | 1 | 1 | ivMP, OD | – | 6 | 100% | 16 | No | No |
Sy et al. [73] | Case series | 2 | 2 | ivMP, OD | – | 4/4b | 100% | 12 | No | No |
Sánchez-Bilbao et al. [70] | Case series | 7 | 7 | ivMP, OD | Missing | Missing | Improvement in VA insignificant | 65d | Missing | Missing |
DON dysthyroid optic neuropathy, ivMP intravenous methylprednisolone, OD orbital decompression, ORT orbital radiotherapy, FU follow-up, VA visual acuity, RAPD relative afferent pupillary defect
aNumber of infusions (8 mg/kg every 4 weeks, intravenously)
bNumber of infusions each patient received
cDefined as stabilization of disease with no need of further DON treatment and improvement in VA and/or color vision/visual field/RAPD
dMean time
eRecurrence of DON after 10 months following the first six infusions of tocilizumab; patient received five additional infusions obtaining again resolution of DON