Drug Rechallenge after Immune Checkpoint Inhibitor-Induced Inflammation and Optic Nerve Disorders

In the majority of cases, ICI-OND occurs bilaterally with painless vision decline and color vision deficits. Cessation of drug along with initiation of systemic steroids can improve vision to 20/40 or better in at least one involved eye, and although we included a smaller subset of patients, we found that ICI can be rechallenged after completion of steroids, without documented recurrence of ICI-OND in most patients.

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Publication Details

Journal
Ocular Oncology and Pathology
Published
2026-01-13
DOI
https://doi.org/10.1159/000550281
Primary Topic
IgG4-Related and Inflammatory Diseases
Type
article
Field-Weighted Citation Impact
0.00
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article

Drug Rechallenge after Immune Checkpoint Inhibitor-Induced Inflammation and Optic Nerve Disorders

Rebecca Silverman, David H. Abramson, Julia Canestraro, Jasmine H. Francis
Ocular Oncology and Pathology
IgG4-Related and Inflammatory Diseases
article

Drug Rechallenge after Immune Checkpoint Inhibitor-Induced Inflammation and Optic Nerve Disorders

Rebecca Silverman, David H. Abramson, Julia Canestraro, Jasmine H. Francis
article en

Abstract

In the majority of cases, ICI-OND occurs bilaterally with painless vision decline and color vision deficits. Cessation of drug along with initiation of systemic steroids can improve vision to 20/40 or better in at least one involved eye, and although we included a smaller subset of patients, we found that ICI can be rechallenged after completion of steroids, without documented recurrence of ICI-OND in most patients.

Ocular Oncology and Pathology
Memorial Sloan Kettering Cancer Center (US), Cornell University (US), Wills Eye Hospital (US)
Good health and well-being
Openalex Percentile: Top 90%
IgG4-Related and Inflammatory Diseases
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