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TitleLong-term Outcomes of Treatment with Infliximab for Behçet Uveitis
PurposeTo evaluate long-term outcomes of infliximab (IFX) for Japanese Behçet uveitis (BU).
MethodsConsecutive 22 Japanese BU patients (18 males, mean age was 42.8 ± 12.5 y.o.), who were initiated IFX and were followed up more than 12 months, were reviewed. LogMAR, intraocular pressure (IOP), Behçet's disease ocular attack score 24 (BOS24), central foveal thickness (CFT), central choroidal thickness (CCT) at baseline and last visit were evaluated.
ResultsMean period between onset and administration and mean period of IFX treatment were 1120±1059 days and 1539±900 days. Mean LogMAR, IOP, BOS24, CFT, and CCT at baseline and last visit were 0.30±0.58, 13.3±5.5 mmHg, 8.2±3.3, 353±130 μm, 289±90 μm, and 0.20±0.79, 12.6±2.6 mmHg, 2.1±1.9, 271±99 μm, 241±72 μm, respectively, with significant improvements in LogMAR, BOS24, CFT, and CCT (P=0.038, P<0.001, P<0.001, P=0.027, respectively). Mean ocular attack during IFX was 0.61 ± 1.3 times/year.Ten patients decreased systemic immunosuppressive agents. Six patients discontinued IFX due to side effect (3 patients), the patient’s request (1 patient), drop out (1 patient), loss of efficiency (1 patient). The continuous rate, remission discontinuation rate, discontinuous rate due to loss of effect, and discontinuous rate due to side effect were 72.8%, 9.1%, 4.5%, 13.6%, respectively.
ConclusionAlmost 80% BU patients could continue IFX effectively and safely in long-term duration.
Conflict of interestNo
Author 1
Last nameTAKAYAMA
Initials of first name(s)K
DepartmentDepartment of Ophthalmology, National Defense Medical College
CityTokorozawa
CountryJapan
Author 2
Last nameSato
Initials of first name(s)T
DepartmentDepartment of Ophthalmology, National Defense Medical College
CityTokorozawa
CountryJapan
Author 3
Last nameTakeuchi
Initials of first name(s)M
DepartmentDepartment of Ophthalmology, National Defense Medical College
CityTokorozawa
CountryJapan