Ocular Side Effects of Aromatase Inhibitor Endocrine Therapy in Breast Cancer - A Review

Aromatase inhibitor therapy is currently the preferred choice in postmenopausal women with estrogen receptor positive breast cancer. This article reviews the ocular side effects of treatment with aromatase inhibitors (AIs) in patients with breast cancer. A comprehensive search was performed on PubMe...

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Veröffentlicht in:In vivo (Athens) 2022-01, Vol.36 (1), p.40-48
Hauptverfasser: Serban, Dragos, Costea, Daniel Ovidiu, Zgura, Anca, Tudosie, Mihail Silviu, Dascalu, Ana Maria, Gangura, Gabriel Andrei, Smarandache, Catalin Gabriel, Dan Sabau, Alexandru, Tudor, Corneliu, Faur, Mihai, Costea, Andreea Cristina, Stana, Daniela, Balasescu, Simona Andreea, Tribus, Laura Carina, Tanasescu, Ciprian
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container_end_page 48
container_issue 1
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container_title In vivo (Athens)
container_volume 36
creator Serban, Dragos
Costea, Daniel Ovidiu
Zgura, Anca
Tudosie, Mihail Silviu
Dascalu, Ana Maria
Gangura, Gabriel Andrei
Smarandache, Catalin Gabriel
Dan Sabau, Alexandru
Tudor, Corneliu
Faur, Mihai
Costea, Andreea Cristina
Stana, Daniela
Balasescu, Simona Andreea
Tribus, Laura Carina
Tanasescu, Ciprian
description Aromatase inhibitor therapy is currently the preferred choice in postmenopausal women with estrogen receptor positive breast cancer. This article reviews the ocular side effects of treatment with aromatase inhibitors (AIs) in patients with breast cancer. A comprehensive search was performed on PubMed, Web of Science and Google scholar. After duplication removal, 14 clinical studies and 5 case reports, published between 2008 and 2021, were identified. Most frequently, AI treatment resulted in minor to moderate dry eye symptoms. "De novo" onset of Sjogren syndrome during AI therapy was also reported. Retinal and optic nerve side effects varied from mild, subclinical anatomic and functional impairment to severe decreased vision, secondary to hemi-central retinal artery occlusion, bilateral optic neuritis or uveitis with bilateral macular edema. Visual disturbances encountered during AI treatment may be underestimated. Ophthalmic screening is important for early detection and appropriate treatment.
doi_str_mv 10.21873/INVIVO.12674
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subjects Antineoplastic Agents, Hormonal - adverse effects
Aromatase Inhibitors - adverse effects
Breast Neoplasms - drug therapy
Female
Humans
Review
title Ocular Side Effects of Aromatase Inhibitor Endocrine Therapy in Breast Cancer - A Review
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