Single-eye trial of a topical carbonic anhydrase inhibitor versus intravitreal bevacizumab for the treatment of taxane drug-induced cystoid macula oedema

BMJ Case Rep. 2016 Apr 19:2016:10.1136/bcr-2015-212733. doi: 10.1136/bcr-2015-212733.

Abstract

Taxanes are a class of microtubule stabilising agents used to treat a wide range of malignancies. Taxane drug-induced cystoid macula oedema (TDICMO) is a known but rare complication of therapy. First reported with Docetaxel in 2003 and Paclitaxel in 2007, there are currently less than 20 cases of TDICMO in the literature. Although most cases resolve following taxane cessation, several authors have tried using carbonic anhydrase inhibitors or intravitreal bevacizumab to accelerate resolution or when taxane therapy cannot be discontinued. We report the first published case of TDICMO treated with a single-eye trial of topical dorzolamide versus intravitreal bevacizumab.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Administration, Topical
  • Aged
  • Angiogenesis Inhibitors / administration & dosage*
  • Bevacizumab / administration & dosage*
  • Bridged-Ring Compounds / adverse effects*
  • Carbonic Anhydrase Inhibitors / administration & dosage*
  • Humans
  • Intravitreal Injections
  • Macular Edema / chemically induced
  • Macular Edema / drug therapy*
  • Male
  • Sulfonamides / administration & dosage*
  • Taxoids / adverse effects*
  • Thiophenes / administration & dosage*

Substances

  • Angiogenesis Inhibitors
  • Bridged-Ring Compounds
  • Carbonic Anhydrase Inhibitors
  • Sulfonamides
  • Taxoids
  • Thiophenes
  • taxane
  • Bevacizumab
  • dorzolamide