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. 2021 Jul 8;40(3):949–982. doi: 10.1007/s10555-021-09976-0

Table 21.

All-grade ocular adverse events in cancer patients treated with ICI [71, 74, 7681]

System Organ Symptoms Abnormalities in diagnostic test results Suspected pathology
Ocular Middle layer of the eye

Blurred vision

Floaters

Flashing lights

Eye redness

Change in color vision

Photophobia/ light sensitivity

Visual distortion

Scotomas

Visual field changes

Double vision

Tenderness

Pain with eye movement

Eyelid swelling

Proptosis

Scotomas

Tender eyes

Clinical examination (visual acuity, color vision, test for afferent pupillary defect)

Ophthalmoscopy

Uveitis

Iritis

Episcleral tissue Clinical examination (difference in redness of eye) Episcleritis
Eyelid Clinical examination (the presence of scurf, telangiectatic vascular changes of the eyelid margin, inspissated meibomian glands, conjunctival hyperemia, punctuate keratopathy, cornea vascularization, and ulceration) Blepharitis
Uvea

Conjunctival redness

Eye pain

Photophobia

Floaters

Blurred vision

Ophthalmologic examination

Funduscopic examination

Fluorescein angiography

Electrophysiological examination

Uveitis

Eye signs (blurred vision,

bilateral uveitis)

Inner ear signs (hearing loss)

Neurological signs (acute encephalitis signs, headache,

meningismus)

Cutaneous demonstration (vitiligo, alopecia)

Ocular coherence tomography (exudative detachments of the retina in the acute stage, along with choroidal thickening and demonstrating choroidal thinning in the chronic stage)

Vogt-Koyanagi-Harada syndrome

(uveomeningitis)