TY - JOUR
T1 - Ocular manifestations of systemic disease
T2 - Antineutrophil cytoplasmic antibody-associated vasculitis
AU - Schmidt, Jean
AU - Pulido, Jose S.
AU - Matteson, Eric L.
PY - 2011/11
Y1 - 2011/11
N2 - Purpose of review: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) may be localized or systemic, and can involve the eyes. This review presents the major disease features and treatments of these forms of systemic vasculitis. RECENT FINDINGS: It is increasingly recognized that ocular disease in AAV can occur in the absence of systemic disease, and that in limited eye disease the ANCA is frequently undetected. Ocular disease in AAV can take many forms, from orbital pseudotumor to scleritis, keratitis, and retinitis. Management of eye disease in ANCA-associated vasculitis includes local anti-inflammatory and moisturizing therapies, local and systemic glucocorticosteroid therapies. Systemic therapies are highly effective for the management of organ involvement of AAV including eye disease, and include the chemotherapies cyclophosphamide, azathioprine, mycophenolate mofetil, and methotrexate. The results of recent, randomized, clinical trials have demonstrated the efficacy of a new tool in the therapeutic armamentarium for AAV, the use of B-cell-depleting therapy with rituximab. SUMMARY: Ocular disease in AAV can occur in isolation or more commonly as a manifestation of systemic disease. With recent advances in treatment, the organ and overall life expectancy of patients suffering from AAV has markedly improved.
AB - Purpose of review: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) may be localized or systemic, and can involve the eyes. This review presents the major disease features and treatments of these forms of systemic vasculitis. RECENT FINDINGS: It is increasingly recognized that ocular disease in AAV can occur in the absence of systemic disease, and that in limited eye disease the ANCA is frequently undetected. Ocular disease in AAV can take many forms, from orbital pseudotumor to scleritis, keratitis, and retinitis. Management of eye disease in ANCA-associated vasculitis includes local anti-inflammatory and moisturizing therapies, local and systemic glucocorticosteroid therapies. Systemic therapies are highly effective for the management of organ involvement of AAV including eye disease, and include the chemotherapies cyclophosphamide, azathioprine, mycophenolate mofetil, and methotrexate. The results of recent, randomized, clinical trials have demonstrated the efficacy of a new tool in the therapeutic armamentarium for AAV, the use of B-cell-depleting therapy with rituximab. SUMMARY: Ocular disease in AAV can occur in isolation or more commonly as a manifestation of systemic disease. With recent advances in treatment, the organ and overall life expectancy of patients suffering from AAV has markedly improved.
KW - Churg-Strauss vasculitis
KW - antineutrophil cytoplasmic antibody associated vasculitis
KW - eye disease
KW - granulomatosis with polyangiitis
KW - treatment
UR - http://www.scopus.com/inward/record.url?scp=80054933608&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80054933608&partnerID=8YFLogxK
U2 - 10.1097/ICU.0b013e32834bdfe2
DO - 10.1097/ICU.0b013e32834bdfe2
M3 - Review article
C2 - 21918443
AN - SCOPUS:80054933608
SN - 1040-8738
VL - 22
SP - 489
EP - 495
JO - Current Opinion in Ophthalmology
JF - Current Opinion in Ophthalmology
IS - 6
ER -