Mycophenolate sodium for immunosuppressive treatment in uveitis

Ocul Immunol Inflamm. 2009 Nov-Dec;17(6):415-9. doi: 10.3109/09273940903137675.

Abstract

Purpose: To assess the efficacy and tolerability of mycophenolate sodium (MPS) in patients with uveitis.

Methods: Retrospective analysis including uveitis patients treated with MPS (Myfortic) for at least 3 months duration. MPS was administered in a dose of 720 mg twice daily.

Results: We analyzed 35 patients (65 affected eyes) with anterior (n = 5), intermediate (n = 23), posterior (n = 6), and panuveitis (n = 1). Previous treatment consisted of systemic corticosteroids in all patients and at least one immunomodulating agent in 15 patients. Mean duration of MPS therapy was calculated as 9.6 months (3-31 months). MPS was able to control intraocular inflammation without relapse in 30 patients (85.7%). Stabilization or improvement of visual acuity was achieved in 60 eyes (92.3%). Tolerability of MPS was good or moderate in 34 patients (97.1%).

Conclusions: MPS was demonstrated as an effective and well-tolerated immunosuppressive drug for different forms of uveitis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Aged
  • Drug Administration Schedule
  • Female
  • Humans
  • Immunologic Factors / therapeutic use
  • Immunosuppressive Agents / administration & dosage*
  • Immunosuppressive Agents / adverse effects
  • Male
  • Middle Aged
  • Mycophenolic Acid / administration & dosage*
  • Mycophenolic Acid / adverse effects
  • Retreatment
  • Retrospective Studies
  • Treatment Failure
  • Treatment Outcome
  • Uveitis / drug therapy*
  • Uveitis / physiopathology
  • Visual Acuity / drug effects
  • Young Adult

Substances

  • Adrenal Cortex Hormones
  • Immunologic Factors
  • Immunosuppressive Agents
  • Mycophenolic Acid