Table 6.
Summary of Cases— Other
Author Year Ref | Age M/F | Cancer Type | ICI Name | Cycles and Duration Before Symptoms | Neuro-Ophthalmic Diagnosis | For Myositis: EOMs Normal or Abnormal Size | Ophthalmic Presentation | Treatment | ICI Continued/Held/Terminated | Neuro-Ophthalmic Outcome | Follow-up Period (Months) |
---|---|---|---|---|---|---|---|---|---|---|---|
Maller 2018134 | 74M | Epithelioid mesothelioma | Ipilimumab and nivolumab | 2 ipilimumab and 5 nivolumab infusions: then 10 weeks | Opsoclonus-myoclonus-ataxia syndrome | OU: involuntary and conjugate horizontal eye movements | IV methylprednisolone 1 g daily, IVIg 0.4 g/kg daily for 5 days, prednisone taper | Completed | Resolution | 8 weeks | |
Alnabulsi 2018130 | 67M | Melanoma | Ipilimumab and nivolumab | Day 10 | Myositis | Normal size | OU: ptosis, ophthalmoplegia | IV methylprednisolone up to 1 g daily IVIg 81 mg for 2 doses, IV infliximab 400 mg for 1 dose | Terminated | No improvement, death (cardiac arrest, multi-organ failure) | NR |
Bourgeois-Vionnet 2018126 | 79NR | Lung adenocarcinoma | Nivolumab | 2 injections: then 1 week | Myositis | Normal size (assumed) | OU: ptosis | IVIg, po corticosteroids 1 mg/kg daily for 6 months | Terminated | Resolution | 6 |
Carrera 2017131 | 68M | NSCLC | Tremelimumab and durvalumab | 2 doses: then 4 days | Myositis | NR | OU: diplopia, OS: hypertropia, ptosis | 60 mg prednisone then taper | Terminated | Resolution (1 month) | 6 |
Diamantopoulos 2017129 | 82M | Melanoma | Pembrolizumab | 1 infusion: then 15 days | Myositis | NR | OS: ptosis, miosis, OU: diplopia | Prednisolone 75 mg, IVIg 0.3 g/kg daily, plasmapheresis | Terminated | Improvement, death (respiratory failure) | 34 days |
Hamada 2018128 | 83M | Lung adenocarcinoma | Pembrolizumab | 2 cycles: then 1 week | Myositis | NR | OD: ptosis | Systemic prednisone 40 mg/day | Terminated | Resolution | 2 |
Hellman 2019127 | 83M | Urothelial carcinoma | Pembrolizumab | 2 cycles | Myositis | NR | OU: ptosis, ophthalmoplegia | Prednisone 1 mg/kg daily, later IV methylprednisolone | Terminated | Improvement, death (pneumothorax) | 33 days |
Kang 2018133 | 75M | HNSCC | Nivolumab | 1 infusion: then 3 weeks | Myositis | Normal size (assumed) | OU: ptosis | IV methylprednisolone 80 mg daily for 3 weeks, then prednisone 100 mg daily, plasmapheresis, a trial of pyridostigmine 60 mg | Terminated | No improvement, death (cardiac arrest) | 2 |
Khoo 2019132 | 80F | Urothelial cancer | Atezolizumab | 8 weeks | Myositis | Normal size (assumed) | OU: ptosis | IV methylprednisolone 1 g daily for 3 days, IVIg 2 g/kg total dose, po prednisolone slow taper | Terminated | Improvement with residual ptosis | 3 |
Kao 201738 | Age NR, F | Leiomyosarcoma | Nivolumab | 3 cycles | Internuclear ophthalmoplegia | OU: internuclear ophthalmoplegia | Corticosteroid (dose NR) for 1 week | Continued | Improvement | NR | |
Mancone 201824 | 75M | Lung squamous cell carcinoma | Nivolumab | 3 cycles | Oculomotor nerve palsy | OU: diplopia, OD: ptosis | Prednisone taper | Terminated | Resolution | NR |
Abbreviations: NSCLC, non-squamous cell lung cancer; HNSCC, head and neck squamous cell carcinoma; OU, both eyes; OD, right eye; OS, left eye; IV, intravenous; po, per os; IVIg, intravenous immunoglobulin; NR, not reported; PLEX, plasma exchange; BID, twice daily; TID, three times daily; QID, four times daily; TED, thyroid-like eye disease.