Preventing relapse in non-infectious uveitis affecting the posterior segment of the eye – evaluating the 0.2 μg/day fluocinolone acetonide intravitreal implant (ILUVIEN®)

Author:

Bodaghi Bahram,Nguyen Quan Dong,Jaffe Glenn,Khoramnia Ramin,Pavesio Carlos

Abstract

Abstract Background The current article is a short review of an Alimera Sciences-sponsored symposium held during The 15th International Ocular Inflammation Society Congress in Taiwan on the 14th November 2019 entitled, ‘Preventing relapse of non-infectious uveitis effecting the posterior segment of the eye – evaluating the 0.2 μg/day fluocinolone acetonide intravitreal implant.’ Main text The fluocinolone acetonide intravitreal implant was approved in Europe for the prevention of relapse in recurrent non-infectious uveitis affecting the posterior segment of the eye and offers a systemic therapy-sparing treatment option by providing low daily dose of corticosteroid into the vitreous for up to 3 years. In the symposium, the presenters reported clinical outcomes from patients with non-infectious uveitis effecting the posterior segment of the eye to support the effectiveness and safety of the implant for up to 3 years in both randomised controlled trials and real-world practices. Conclusions Data showed that over a 36 month period, treatment with the fluocinolone acetonide intravitreal implant was associated with significantly fewer episodes of uveitic recurrence, a significantly longer time to uveitic recurrence, greater improvement in visual acuity, a lower need for adjunctive therapy, and an acceptable safety profile.

Publisher

Springer Science and Business Media LLC

Subject

Infectious Diseases,Ophthalmology

Reference10 articles.

1. Alimera Sciences UK (2019) ILUVIEN 190 micrograms intravitreal implant in applicator SmPC. Available at: https://www.medicines.org.uk/emc/medicine/27636. Accessed 12 Nov 2020.

2. Dana MR, Merayo-Lloves J, Schaumberg DA et al (1996) Prognosticators for visual outcome in sarcoid uveitis. Ophthalmology. 103:1846–1853

3. Kempen JH, Altaweel MM, Holbrook JT et al (2017) Association between long-lasting intravitreous fluocinolone acetonide implant vs systemic anti-inflammatory therapy and visual acuity at 7 years among patients with intermediate, posterior, or panuveitis. JAMA 317:1993–2005

4. Safety and efficacy of an injectable fluocinolone acetonide intravitrealinsert (FAI); 2020 March 23 [cited 2020 November 12]. Bethesda (MD): National Library of Medicine (US). 2000. ClinicalTrials.gov [Internet]. Identifier NCT01694186, Available from: http://clinicaltrials.gov/ct2/show/NCT01694186?order=1.

5. Jaffe GJ, Pavesio C, on behalf of the study investigators and sites (2020) Effect of an fluocinolone acetonide insert on recurrence rates in noninfectious intermediate, posterior, or panuveitis: 3-year results. Ophthalmology https://doi.org/10.1016/j.ophtha.2020.04.001

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