Near-Complete Drusen Resolution With Brolucizumab: A Mechanism for Proinflammatory Mediated Drusen Clearance?

Ophthalmic Surg Lasers Imaging Retina. 2023 Jun;54(6):371-374. doi: 10.3928/23258160-20230524-02. Epub 2023 Jun 1.

Abstract

A 68-year-old woman with macular drusen was diagnosed with neovascular age-related macular degeneration (AMD) and treated with intravitreal brolucizumab. She had a good response to treatment with reduced height of the pigment epithelial detachment, and a good visual outcome. Remarkably, she had a near-complete resolution of macular drusen, yet this was accompanied by the development of anterior uveitis. We propose a proinflammatory-based mechanism for the brolucizumab-induced drusen resorption. Identifying the biochemical pathways responsible could hold the potential to discover novel forms of therapy for the treatment of AMD. [Ophthalmic Surg Lasers Imaging Retina 2023;54:371-374.].

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antibodies, Monoclonal, Humanized / adverse effects
  • Female
  • Humans
  • Retina
  • Retinal Detachment* / diagnosis
  • Retinal Detachment* / drug therapy
  • Retinal Drusen* / diagnosis
  • Retinal Drusen* / drug therapy
  • Wet Macular Degeneration*

Substances

  • brolucizumab
  • Antibodies, Monoclonal, Humanized