Ocular Toxicity of Targeted Anticancer Agents

Drugs. 2021 May;81(7):771-823. doi: 10.1007/s40265-021-01507-z. Epub 2021 Mar 31.

Abstract

The proliferation of targeted anticancer agents over the last two decades has revolutionized cancer treatment and improved survival in many previously refractory malignancies. However, many agents are associated with characteristic ophthalmic adverse effects. It is important that ophthalmologists recognize and maintain a high index of suspicion for these side effects in patients on targeted therapy. Most ophthalmic adverse effects can be treated with specific ocular therapy without discontinuation of cancer treatment, although it is important to be aware of the life-threatening and vision-threatening circumstances that would require therapy cessation in conjunction with the patient's oncologist. This review aims to summarize the ophthalmic adverse effects of targeted and hormonal anticancer agents and briefly describe their management.

Publication types

  • Review

MeSH terms

  • Agammaglobulinaemia Tyrosine Kinase / antagonists & inhibitors
  • Anaplastic Lymphoma Kinase / antagonists & inhibitors
  • Antineoplastic Agents, Hormonal / adverse effects*
  • Antineoplastic Agents, Hormonal / therapeutic use
  • Antineoplastic Agents, Immunological / adverse effects*
  • Antineoplastic Agents, Immunological / therapeutic use
  • Aromatase Inhibitors / adverse effects
  • Clinical Trials as Topic
  • ErbB Receptors / antagonists & inhibitors
  • Eye / drug effects*
  • Fusion Proteins, bcr-abl / antagonists & inhibitors
  • Humans
  • Immune Checkpoint Inhibitors / adverse effects
  • Janus Kinase 2 / antagonists & inhibitors
  • Mitogen-Activated Protein Kinase Kinases / antagonists & inhibitors
  • Phosphoinositide-3 Kinase Inhibitors / adverse effects
  • Proto-Oncogene Proteins B-raf / antagonists & inhibitors
  • Receptor Protein-Tyrosine Kinases / antagonists & inhibitors
  • Receptor, ErbB-2 / antagonists & inhibitors
  • Receptors, Fibroblast Growth Factor / antagonists & inhibitors
  • Receptors, Vascular Endothelial Growth Factor / antagonists & inhibitors
  • Selective Estrogen Receptor Modulators / adverse effects
  • Severity of Illness Index
  • Toxic Optic Neuropathy / epidemiology*
  • fms-Like Tyrosine Kinase 3 / antagonists & inhibitors

Substances

  • Antineoplastic Agents, Hormonal
  • Antineoplastic Agents, Immunological
  • Aromatase Inhibitors
  • Immune Checkpoint Inhibitors
  • Phosphoinositide-3 Kinase Inhibitors
  • Receptors, Fibroblast Growth Factor
  • Selective Estrogen Receptor Modulators
  • Anaplastic Lymphoma Kinase
  • ERBB2 protein, human
  • ErbB Receptors
  • Receptor Protein-Tyrosine Kinases
  • Receptor, ErbB-2
  • Receptors, Vascular Endothelial Growth Factor
  • fms-Like Tyrosine Kinase 3
  • Agammaglobulinaemia Tyrosine Kinase
  • Fusion Proteins, bcr-abl
  • Janus Kinase 2
  • Proto-Oncogene Proteins B-raf
  • Mitogen-Activated Protein Kinase Kinases