Optic neuropathies induced by immune checkpoint inhibitors: A case series and systematic review of the literature

Two distinct patterns of ICI-induced optic neuropathy emerge: papillitis, usually associated with uveitis and Vogt-Koyanagi-Harada syndrome, and optic neuritis, linked to broader immune-related neurological toxicities and poorer outcomes. Our findings suggest that ICIs may be safely reintroduced after full recovery from ICI-related papillitis.

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Publication Details

Journal
European Journal of Cancer
Published
2026-02-17
DOI
https://doi.org/10.1016/j.ejca.2026.116594
Primary Topic
Cancer Immunotherapy and Biomarkers
Type
article
Field-Weighted Citation Impact
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Optic neuropathies induced by immune checkpoint inhibitors: A case series and systematic review of the literature

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Optic neuropathies induced by immune checkpoint inhibitors: A case series and systematic review of the literature

Elise Philippakis, Alberto Vogrig, Emilien Ezine, Giuseppe Aprile, Evelaine Louis, Renata Ursu, Stefania Cuzzubbo, Aude Couturier, Antoine F. Carpentier, Céleste Lebbé
article en

Abstract

Two distinct patterns of ICI-induced optic neuropathy emerge: papillitis, usually associated with uveitis and Vogt-Koyanagi-Harada syndrome, and optic neuritis, linked to broader immune-related neurological toxicities and poorer outcomes. Our findings suggest that ICIs may be safely reintroduced after full recovery from ICI-related papillitis.

European Journal of CancerVol. 237
University of Udine (IT), Inserm (FR), Université Paris Cité (FR), Saint Louis University Hospital (US), Sorbonne Paris Cité (FR), Assistance Publique – Hôpitaux de Paris (FR), Hôpital Lariboisière (FR), Ospedale Santa Maria della Misericordia di Udine (IT), Hôpital Saint-Louis (FR)
Openalex Percentile: Top 53%
Cancer Immunotherapy and Biomarkers
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