From: Rituximab for treatment of non-infectious and non-malignant orbital inflammatory disease
Identified Cause of Orbital Inflammation | Number (Percentage) | Age (years) | Gender (M:F) | Anatomical Localization (Ratio, %) | Time from Diagnosis to Rituximab Treatment (months) | Rituximab Regimen (Ratio, %) | Positive Therapeutic Response (Ratio, %) | Recurrence (Ratio, %) | Adverse Events (Ratio, %) |
---|---|---|---|---|---|---|---|---|---|
Granulomatosis with Polyangiitis | 99 (59.3%) | Mean: 42.7 ± 15.6 Median: 42 Range: 4–72 | 0.89:1 | Unspecified Orbital mass/granuloma (64/99, 64.6%); Mass affecting one orbital structure (2/99, 2.0%); Mass affecting three or more structures (1/99, 1.0%); Unspecified orbital inflammation (31/99, 31.3%); Inflammation affecting one orbital structure (1/99, 1.0%) Involved orbital structures when reported: Lacrimal gland (2/4, 50.0%); Extraocular muscles (2/4, 50.0%); Preseptal/soft tissues (2/4, 50.0%) | Mean: 59.4 ± 73.8 Median: 30.8 Range: 0–240 | Rheumatologic (51/96, 53.1%); Oncologic (42/96, 43.8%); Other (3/96, 3.1%) 1 treatment cycle: (50/79, 63.3%); 2 treatment cycles: (18/79, 22.8%); > 2 treatment cycles: (11/79, 13.9%) range: 1–8 cycles | 84/99, 84.8% | 23/74, 31.1% | None (32/38, 84.2%); Exacerbation of disease (3/38, 7.9%); De novo hepatitis (1/38, 2.6%); Nausea (1/38, 2.6%); Adenovirus pneumonitis (1/38, 2.6%)a |
IgG4-related disease | 36 (21.6%) | Mean: 54.8 ± 14.7 Median: 54 Range: 12–83 | 1 to 0.80 | Mass affecting one orbital structure (5/36, 13.9%); Mass affecting two orbital structures (4/36, 11.1%); Unspecified orbital inflammation (3/36, 8.3%); Inflammation affecting one orbital structure (7/36, 19.4%); Inflammation affecting two orbital structures (11/36, 30.6%); Inflammation affecting three or more orbital structures (6/36, 16.7%) Involved orbital structures when reported: Lacrimal gland (23/33, 69.7%); Extraocular muscles (16/33, 48.5%); Preseptal/soft tissues (18/33, 54.5%) Bone (3/33, 9.1%) | Mean: 51.8 ± 88.5 Median: 20.5 Range: 0–360 | Rheumatologic (11/19, 57.9%); Oncologic (4/19, 21.1%); Other (4/19, 21.1%) 1 treatment cycle: (10/19, 52.6%); 2 treatment cycles: (2/19, 10.5%); > 2 treatment cycles: (7/19, 36.8%) range: 1–19 cycles | 33/35, 94.3% | 11/28, 39.3% | None (15/17, 88.2%); Fatigue (1/17, 5.9%); Orbital discomfort with infusion (1/17, 5.9%) |
IgG4-related disease and Adult orbital xanthogranulomatous disease | 4 (2.4%) | Mean: 51.0 Median: 53.5 Range: 36–61 | 1 to 0.33 | Inflammation affecting one orbital structure (1/4, 25.0%) Inflammation affecting two orbital structures (1/4, 25.0%) Inflammation affecting three or more orbital structures (2/4, 50.0%) Involved orbital structures when reported: Lacrimal gland (3/4, 75.0%); Extraocular muscles (2/4, 50.0%); Preseptal/soft tissues (4/4, 100%) | NR | Rheumatologic (3/3, 100%) 1 cycle: (2/4, 50.0%) 2 cycles: (2/4, 50.0%) | 4/4, 100% | 0/4, 0% | None (1/1, 100%) |
Otherb | 3 (1.8%) | Mean: 53.7 Median: 51 Range: 49–61 | 0.50:1 | Unspecified orbital inflammation (1/3, 33.3%) Orbital inflammation affecting two orbital structures (2/3, 33.3%) Involved orbital structures when reported: Lacrimal gland (2/2, 100%) Extraocular muscles (2/2, 100%) | 0c | Rheumatologic (2/3, 66.7%); Other (1/3, 33.3%) 1 treatment cycle: (1/3, 33.3%); 2 treatment cycles: (1/3, 33.3%); > 2 treatment cycles: (1/3, 33.3%) | 3/3, 100% | 0/3, 0% | None (1/1100%) |
Indeterminate | 25 (15.0%) | Mean: 48.0 ± 19.4 Median: 46 Range: 7–86 | 0.44:1 | Unspecified Orbital mass/granuloma (6/25, 24.0%); Mass affecting one orbital structure (4/25, 16.0%); Mass affecting two orbital structures (2/25, 8.0%); Unspecified orbital inflammation (7/25, 28.0%); Inflammation affecting one orbital structure (3/25, 12.0%) Inflammation affecting two orbital structures (1/25, 4.0%) Inflammation affecting three or more orbital structures (2/25, 8.0%) Involved orbital structures when reported: Lacrimal gland (9/12, 75.0%); Extraocular muscles (5/12, 41.7%); Preseptal/soft tissues (4/12, 33.3%) Bone (1/12, 8.3%) | Mean: 9.9 ± 10.8 Median: 5.0 Range: 1–30 | Rheumatologic (12/23, 52.2%); Oncologic (6/23, 26.1%); 4 weekly 10 mg intraorbital injections (3/23, 13.0%); Other (2/23, 8.7%); 1 treatment cycle: (16/23, 69.6%); 2 treatment cycles: (4/23, 17.4%); > 2 treatment cycles: (2/23, 8.7%); range: 1–6 cycles | 22/25, 88.0% | 6/19, 31.6% | None (6/9, 66.7%); Interstitial pneumonitis (1/9, 11.1%); Exacerbation of orbital disease (1/9, 11.1%); Itching and breathlessness following infusion (1/9, 11.1%) |