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International Ophthalmology

, Volume 26, Issue 3, pp 83–92 | Cite as

Long-term safety and efficacy of infliximab therapy in refractory uveitis due to Behçet’s disease

  • Ahmed M. Abu El-Asrar
  • Emad B. Abboud
  • Hassan Aldibhi
  • Abdulrahman Al-Arfaj
Original Paper

Abstract

Purpose To evaluate the long-term safety and efficacy of infliximab therapy for refractory uveitis associated with Behçet’s disease (BD).

Methods We prospectively enrolled six patients who failed to respond to conventional immunosuppressive treatment. Infliximab infusions (5 mg/kg) were administered at weeks 0, 2, 6, and then every 8 weeks. The outcome variables were visual acuity, control of inflammation, reduction of macular edema, tapering of immunosuppressive therapy, and adverse effects.

Results The follow-up period ranged from 16 to 36 months (mean ± SD, 23 ± 7.4 months). The number of infliximab infusions ranged from 10 to 23 (14 ± 4.6). By the 2-month follow-up, all patients had achieved remission, the cystoid macular edema had resolved, and visual acuity had improved dramatically. Throughout the follow-up period, three patients remained attack-free. One patient had one relapse, and another patient had two relapses before the scheduled infusions; all three relapses resolved rapidly after the subsequent infusion. One patient developed five relapses, and infusions at 6-week intervals were necessary to achieve sustained remission. At the end of the follow-up period, visual acuity improved in five patients. Concomitant immunosuppressive therapy was substantially reduced. Antinuclear antibodies developed in two patients who received 17 and 23 infusions. No major adverse effects requiring withdrawal of infliximab were observed.

Conclusion Infliximab is efficient and safe for long-term treatment of refractory uveitis associated with BD. Repeated infusions are required to maintain long-term remission.

Keywords

Anti-tumor necrosis factor-α antibody Behçet’s disease Uveitis 

Notes

Acknowledgements

The authors thank Ms. Connie B. Unisa-Marfil for secretarial work. This work was partially supported by the College of Medicine Research Center, King Saud University, Riyadh, Saudi Arabia.

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Ahmed M. Abu El-Asrar
    • 1
    • 2
  • Emad B. Abboud
    • 3
  • Hassan Aldibhi
    • 3
  • Abdulrahman Al-Arfaj
    • 4
  1. 1.Department of Ophthalmology, College of MedicineKing Saud UniversityRiyadhSaudi Arabia
  2. 2.Department of OphthalmologyKing Abdulaziz University HospitalRiyadhSaudi Arabia
  3. 3.King Khaled Eye Specialist HospitalRiyadhSaudi Arabia
  4. 4.Department of Medicine (Rheumatology Division), College of MedicineKing Saud UniversityRiyadhSaudi Arabia

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