1. Capecitabine-induced bilateral ectropion: A rare ocular manifestation requiring surgical intervention
- Author
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Sedat Tatar, Can E Yalçın, Billur Sezgin, Ayşe Y Taş, Orkun Müftüoğlu, and Selahattin Özmen
- Subjects
Capecitabine ,ectropion ,5-fluorouracil ,skin grafting ,Surgery ,RD1-811 - Abstract
It has been established that many chemotherapeutic agents are associated with a variety of ocular side effects. As an antineoplastic agent, 5-fluorouracil (5-FU) is the chemotherapeutic agent that is frequently linked with cicatricial ectropion. Capecitabine is a prodrug of 5-FU and has a more favorable side effect profile than 5-FU. Frequent side effects of capecitabine include gastrointestinal events and hand–foot–mouth syndrome; cicatricial ectropion is rather uncommon. Enzyme deficiencies affecting the capecitabine metabolism have been reported to be associated with exaggerated generalized systemic and cutaneous side effects; however, there are no cases in the literature reporting capecitabine-induced isolated bilateral-progressive ectropion. Although cessation of the agent is frequently sufficient for the treatment of ectropion, close follow-up is indicated in such patients as permanent damage may occur if the problem is left untreated. We report a case of capecitabine-induced bilateral cicatricial ectropion refractory to treatment cessation, ultimately requiring surgical treatment.
- Published
- 2018
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