Interferon-induced retinopathy in asymptomatic cancer patients

Ophthalmology. 2001 May;108(5):858-60. doi: 10.1016/s0161-6420(01)00546-2.

Abstract

Objectives: Interferon-induced ocular complications, including retinal ischemia and ischemic optic neuropathy, can be associated with significant visual loss. We report three cases of asymptomatic ischemic retinopathy in cancer patients receiving interferon.

Design: Retrospective, interventional, noncomparative small case series.

Methods: Retrospective review of the medical records and fundus photographs.

Results: Interferon-induced ischemic retinopathy can occur in asymptomatic cancer patients. The retinal changes are usually reversible with discontinuation of interferon therapy.

Conclusions: These three cases underscore the importance of dilated funduscopic examination at baseline and during follow-up, at least every 3 months, for all cancer patients receiving interferon to identify retinal toxicity at its earliest stages. A prospective study evaluating the incidence and severity of interferon retinopathy in cancer patients would be prudent.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Agents / adverse effects*
  • Humans
  • Interferons / adverse effects*
  • Ischemia / chemically induced*
  • Ischemia / pathology
  • Leukemia, Myeloid / drug therapy
  • Lymphatic Metastasis
  • Lymphoma, Non-Hodgkin / drug therapy
  • Male
  • Melanoma / drug therapy
  • Melanoma / secondary
  • Middle Aged
  • Neoplasms / drug therapy*
  • Retinal Diseases / chemically induced*
  • Retinal Diseases / pathology
  • Retinal Vessels / drug effects*
  • Retinal Vessels / pathology
  • Retrospective Studies
  • Soft Tissue Neoplasms / drug therapy
  • Soft Tissue Neoplasms / pathology
  • Visual Acuity

Substances

  • Antineoplastic Agents
  • Interferons