Evidence map›Paper›PMID 40330966›Full record

ReviewRomanian journal of ophthalmology

Unraveling the Mystery of Taxol-Induced Cystoid Macular Oedema: Case Report and Literature Review.

Radomir Babovic, Ben Burton, Nimesha Alex, Lakshmi Harihar, Tihomir Dugandzija

Abstract readCase ReportsReview
In one paragraph

Review in Romanian journal of ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Radomir BabovicOphthalmology Department, James Paget Hospital, Great Yarmouth, University of East Anglia, Norwich, United Kingdom.
Ben BurtonOphthalmology Department, James Paget Hospital, Great Yarmouth, University of East Anglia, Norwich, United Kingdom.
Nimesha AlexOphthalmology Department, James Paget Hospital, Great Yarmouth, University of East Anglia, Norwich, United Kingdom.
Lakshmi HariharOncology Department, Norfolk and Norwich University Hospital, Norwich, United Kingdom.
Tihomir DugandzijaSchool of Medicine, University of Novi Sad, Oncology Institute of Vojvodina, Sremska Kamenica, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The primary aim of this article is to present cystoid macular oedema as one of the side effects of Paclitaxel (Taxol) chemotherapy. Paclitaxel is used as a treatment option in patients with different types of solid carcinomas. The potential loss of vision, already altered by the disease, further compromises their quality of life, a contributing factor to overall psychological and mental decline. Case presentation: A 69-year-old woman developed a drop in visual acuity that was painless, bilateral, and accompanied by wavy lines. This occurred six months after starting Paclitaxel chemotherapy for metastatic breast cancer. The diagnosis of cystoid macular oedema caused by Paclitaxel was made. The visual acuity significantly improved after Paclitaxel was discontinued, and the symptoms subsided. Discussion: Paclitaxel is a chemotherapy drug used to treat various types of cancers and has been associated with cystoid macular oedema (CMO) in rare cases. CMO is thought to result from the disruption of the normal blood-retinal barrier. The specific mechanism remains incompletely understood, and multiple mechanisms have been postulated. In typical CMO, leakage from parafoveal capillaries is demonstrated on fluorescein angiograms in a classic petaloid pattern. However, in Taxane-Drug Induced CMO (TDICMO), there is no evidence of fluorescein leakage on angiography. TDICMO is a rare drug side effect of breast cancer treatment, described just 14 times in the English literature. Conclusion: It is crucial to reiterate that if a patient undergoing Paclitaxel treatment experiences any vision changes, it is imperative to consult an ophthalmologist for a thorough evaluation and appropriate management. This step is essential for the patient's well-being and to ensure the best possible outcome.

Indexed as

Antineoplastic Agents, PhytogenicMacular EdemaPaclitaxelVisual AcuityAgedBreast NeoplasmsFemaleFluorescein AngiographyFundus OculiHumansTomography, Optical CoherenceAntineoplastic Agents, PhytogenicPaclitaxelBCVA = best corrected visual acuitybreast cancerCAI = carbonic anhydrase inhibitorsCMO = cystoid macular oedemacystoid macular oedemaER = estrogen receptorHER2 = human epidermal growth factor receptor 2LE = left eyeOCT = optical coherence tomographyPaclitaxelPH = pinholeRE = right eyeRPE = retinal pigment epitheliumside effectsTDICMO = taxane-drug induced cystoid macular oedemaVA = visual acuityVEGF = vascular endothelial growth factorμm = micrometre

Identifiers

PMID40330966
PMCPMC12049643

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.