Table 2 Data on patients with dupilumab-associated ocular surface disease.

From: Dupilumab-associated ocular surface disease: presentation, management and long-term sequelae

 

Age, gender

Past ocular history

Skin response

Symptoms

Signs on presentation

Onset of symptoms (weeks)

Treatment

Follow-up (months)

Response to drops

1.

24, F

None

EASI 75

Bilateral painful eyes

Bilateral follicular conjunctivitis

16

FML and lubricants

20

FML OD

2

57, F

HSV keratitis

EASI 75

Bilateral itchy, red, watery eyes

MGD, papilla, conjunctival scarring left lower fornix

1

Prednisolone 0.5%

24

Developed leukoplakic lesion in lower fornix, steroid drops stopped after 12 months

3.

28, M

AKC

Improvement

Bilateral red, sore watery eyes

Bilateral limbal nodules, papillary conjunctivitis and lid erythema

4

Prednisolone 0.5%, Ikervis, Opatanol and lubricants

26

Prednisolone 0.5% OD

4.

43, F

AKC

EASI 75

Episodes of redness

Redness, chemosis, papillary changes

4

Prednisolone 0.5%, lubricants

16

Prednisolone 0.5% OD

5.

54, F

None

EASI 75

Bilateral sore, red, watery eyes

Bilateral follicular conjunctivitis, MGD, cicatricial changes in upper and lower fornix, cicatricial ectropion

12

Prednisolone 0.5%, Ikervis, Betnesol and Tacrolimus ointments to eye lids

16

Prednisolone 0.5% OD, Ikervis OD

6.

34, M

AKC

EASI 75

Bilateral sore, red, watery eyes

Bilateral limbal nodules, severe papillary conjunctivitis

8

Betnesol ointment

14

Resolution, 8 months use of steroids

7.

26, F

None

EASI 50 prior to stopping

Bilateral red eyes, loss of lashes

Bilateral follicular conjunctivitis, loss of lashes, periorbital dermatitis

2

Dexamethasone preservative free, lubricants

Lost to follow-up

Lost to follow-up

8.

43, M

None

EASI 50

Bilateral red sore eyes

Papillary changes, periocular redness, punctual stenosis

1

Prednisolone 0.5% and lubricants

6

Prednisolone 0.5% OD

9.

51, M

KC, AKC

EASI 50

Bilateral redness

MGD, mild redness and papillary reaction

Unspecified

Dexamethasone preservative free, lubricants

6

Resolution after 3 months

  1. F female, M male, AKC atopic keratoconjunctivitis, HSV herpes simples virus, KC keratoconus, FML fluorometholone 0.1% drops, Ikervis ciclosporin 0.1% drops, EASI 50 50% improvement in Eczema Area and Severity Index score at 16 weeks, EASI 75 75% improvement in Eczema Area and Severity Index score at 16 weeks, OD once a day for drop frequency.