Evidence map›Paper›PMID 42361362›Full record

ReviewCornea2026

Ocular Surface Toxicity of Antibody-Drug Conjugates: Pathogenesis, Diagnosis, Grading, and Treatment of Ocular Adverse Effects.

Winston D Chamberlain, Clara C Chan, Amy Lin, Karolinna M Rocha, Beeran Meghpara, Sumitra Khandewal, Michelle K Rhee, Zachary Z Zavodni, Sumit Garg, Marjan Farid and 1 more

Abstract readReview
In one paragraph

Review in Cornea, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Winston D ChamberlainNorthwest Permanente, Portland, OR.ORCID 0000-0003-0007-9428
Clara C ChanUniversity of Toronto, Department of Ophthalmology, Toronto, ON, Canada.
Amy LinUniversity of Utah, John Moran Eye Center, Department of Ophthalmology and Visual Sciences, Salt Lake City, UT.
Karolinna M RochaStorm Eye Institute, Medical University of South Carolina (MUSC), Charleston, SC.
Beeran MeghparaWills Eye Hospital, Philadelphia, PA.
Sumitra KhandewalBaylor College of Medicine, Houston, TX.
Michelle K RheeIcahn School of Medicine at Mount Sinai, Elmhurst, NY.
Zachary Z ZavodniThe Eye Institute of Utah, Salt Lake City, UT.
Sumit GargGavin Herbert Eye Institute, University of California, Irvine, CA; and.
Marjan FaridGavin Herbert Eye Institute, University of California, Irvine, CA; and.
Naveen K RaoOphthalmic Consultants of Boston, Waltham, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe American Society of Cornea and Refractive Surgery Cornea Committee convened to create a brief review of the literature and expert experience of antibody-drug conjugates (ADCs) and their impact on ocular surface health.

methodsPeer-reviewed publications from 2003 to 2025 were evaluated. The information along with authors clinical experience was used to create a white paper on the current aspects ADC therapy that is relevant to the ocular surface health.

resultsThere are currently 14 Food and Drug Administration-approved ADCs. By most recent estimates in the literature, there are more than 200 ADCs currently in development, and a significant proportion of them are associated with keratopathy that has unique ocular surface manifestations. Features of ADC-induced keratopathy include corneal pseudocysts, superficial punctate keratitis, refractive shifts, and conjunctival hyperemia. More severe adverse events such as conjunctival hemorrhage, conjunctival scarring, and corneal ulcers are rare. These findings correlate with change in visual acuity and visual quality. Eye care providers need guidance to recognize, understand, and communicate critical features of vision health with referring oncologists.

conclusionsGiven the anticipated surge in oncology patients on ADCs, there is a need for dissemination of information on ocular surface concerns. This review covers key aspects ADC toxicity mechanisms and pathological features on the ocular surface health including strategies to diagnose, grade, and treat disease. It also provides expectations on the eye care provider's role in communication with referring oncologists.

Indexed as

Antineoplastic AgentsCorneal DiseasesImmunoconjugatesConjunctival DiseasesHumansAntineoplastic AgentsImmunoconjugatesadverse eventantibody–drug conjugategrading scalekeratopathylinkermacropinocytosisocular surfaceoff-targetoncologyon targetpayloadpseudocysts

Identifiers

PMID42361362
PMCPMC13626593

What OpenQuestion holds

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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.