Treatment Outcomes of Adalimumab Therapy in Vogt-Koyanagi-Harada Disease Patients in a Philippine Hospital: A Case Series
Purpose
To evaluate the treatment outcomes of adalimumab therapy in patients with Vogt-Koyanagi-Harada disease (VKH).
Methods
The charts of patients diagnosed with VKH and treated with adalimumab at the Uveitis clinic of Ospital ng Makati, Philippines were reviewed. Primary treatment outcomes comprised of control of intraocular inflammation, prevention of recurrence during and after treatment, and gain of visual acuity.
Results
4 cases were included in the study of which there were 3 females and 1 male. 2 were at the Convalescent phase while 2 were at the Chronic Uveitis phase. Treatment regimen consisted of adalimumab 80mg loading dose injected subcutaneously then 40 mg every 2 weeks. Duration of treatment ranged from 4-24 months. Control of inflammation was achieved in all cases while undergoing treatment. No recurrences occurred during and after treatment . All eyes had a gain in visual acuity ranging from 1-6 lines. 2 of the 4 cases were managed with adalimumab alone while the other two were on other immunomodulatory medications.
Conclusion
dalimumab is effective in controlling the intraocular inflammation and preventing the progression of Vogt-Koyanagi-Harada disease.
Conflict of interest
No
Authors 1
Last name
OCAMPO
Initials of first name(s)
VV
Department
Ophthalmology
City
Makati City
Country
Philippines
Authors 2
Last name
Alcala
Initials of first name(s)
MF
Department
Ophthalmology
City
Makati City
Country
Philippines
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