国际眼科纵览 ›› 2025, Vol. 49 ›› Issue (6): 469-473.doi: 10. 3760/cma.j.cn115500-20240403-25609

• 综述 • 上一篇    下一篇

表皮生长因子受体抑制剂对眼表的影响

龚雪芹  张劲玉  郑哲文  周世有
  

  1. 中山大学中山眼科中心 眼病防治全国重点实验室 广东省眼科视觉科学重点实验室,广州 510060
  • 收稿日期:2024-04-03 出版日期:2025-12-22 发布日期:2025-12-22
  • 通讯作者: 周世有,Email: zhoushiy@mail.sysu.edu.cn

Impact of epidermal growth factor receptor inhibitors on the ocular surface#br#

Gong Xueqin, Zhang Jinyu, Zheng Zhewen, Zhou Shiyou   

  1. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology Visual Sciences, Guangzhou 510060, China
  • Received:2024-04-03 Online:2025-12-22 Published:2025-12-22
  • Contact: Zhou Shiyou, Email: zhoushiy@mail.sysu.edu.cn

摘要: 靶向药物是治疗相关基因突变癌症患者的有效抗癌药物,对于表皮生长因子受体(epidermal growth factor receptor,EGFR)相关分子突变的癌症患者,靶向药物如EGFR抑制剂可以与EGFR特异性结合,从而抑制肿瘤细胞的生长。近年随着靶向药物使用增多,其副作用也逐渐凸显,其中包括显著影响生活质量的眼表疾病。使用EGFR抑制剂会导致可逆性的眼睑外翻及眼睑水肿。此外,还可能出现睫毛变长变黑、结膜炎、角膜上皮损伤、角膜基质变薄、角膜溃疡以及泪膜不稳定等情况,发生这些变化的机制尚需进一步探索。

关键词: 眼表, 表皮生长因子受体抑制剂, 靶向药物

Abstract: Targeted drugs represent an effective class of anticancer agents for treating cancer patients with related gene mutations. In individuals with epidermal growth factor receptor (EGFR)-related molecular mutations, EGFR inhibitors can bind specifically to the receptor, thereby inhibiting tumor cell growth. With the increasing use of targeted therapies, their side effects—including those significantly affecting quality of life—have become more evident, particularly on the ocular surface. The administration of EGFR inhibitors has been associated with reversible eyelid ectropion and edema. Other reported ocular manifestations include trichomegaly (elongation and darkening of eyelashes), conjunctivitis, corneal epithelial damage, stromal thinning, corneal ulceration, and tear film instability. The mechanisms underlying these adverse ocular changes, however, require further investigation.

Key words: Ocular surface, Epidermal growth factor receptor inhibitors, Targeted drugs