Use of Anti-Tumour Necrosis Factor-Alpha Agents in the Management of HLA-B-27-Associated Uveitis: The First Case Series from India

Ocul Immunol Inflamm. 2021 Feb 17;29(2):232-236. doi: 10.1080/09273948.2019.1698754. Epub 2020 Feb 14.

Abstract

Purpose: The aim of this study was to evaluate the efficacy of adalimumab (ADL) and golimumab (GLM) in patients with HLA-B-27-associated uveitis.Method: We conducted a retrospective analysis of patients with HLA-B-27-associated uveitis who had received subcutaneous GLM and ADL between 2014 and 2018.Results: The study included 14 patients, 12 of whom received subcutaneous ADL and two patients were treated with subcutaneous GLM. Median age of the patients was 31.5 years (range 17-53 years). The most common associated systemic disease in these patients was ankylosing spondylitis (92.8%). Majority of the patients had anterior uveitis (71.4%) followed by anterior uveitis and intermediate uveitis (28.6%).Conclusion: ADL/GLM is a useful therapeutic option in refractory cases of HLA-B-27-associated uveitis, especially in patients with associated systemic manifestations.

Keywords: HLA B-27 uveitis; acute anterior uveitis; adalimumab; biologicals; golimumab.

MeSH terms

  • Adalimumab / therapeutic use*
  • Adolescent
  • Adult
  • Anti-Inflammatory Agents / therapeutic use
  • Antibodies, Monoclonal / therapeutic use*
  • Disease Management*
  • Female
  • Fluorescein Angiography / methods
  • Fundus Oculi
  • HLA-B27 Antigen / immunology*
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies
  • Tumor Necrosis Factor Inhibitors / therapeutic use
  • Uveitis / drug therapy*
  • Uveitis / epidemiology
  • Uveitis / immunology
  • Young Adult

Substances

  • Anti-Inflammatory Agents
  • Antibodies, Monoclonal
  • HLA-B27 Antigen
  • Tumor Necrosis Factor Inhibitors
  • golimumab
  • Adalimumab