Ophthalmic involvement in VEXAS syndrome and its influence on mortality: insights from the international AIDA network registry - Summary - MDSpire

Ophthalmic involvement in VEXAS syndrome and its influence on mortality: insights from the international AIDA network registry

  • By

  • Jurgen Sota

  • Andrea Hinojosa-Azaola

  • Eduardo Martín-Nares

  • Paolo Sfriso

  • Sara Bindoli

  • Pravin Hissaria

  • Mark Beecher

  • José Hernández-Rodríguez

  • Verónica Gómez-Caverzaschi

  • Micol Frassi

  • Francesca Crisafulli

  • Lorenzo Dagna

  • Corrado Campochiaro

  • Serena Bugatti

  • Alessandra Milanesi

  • Guillermo Ruiz-Irastorza

  • Adriana Soto-Peleteiro

  • Matteo Piga

  • Ombretta Viapiana

  • Abdurrahman Tufan

  • Ertugrul Cagri Bolek

  • Paola Triggianese

  • Marcella Prete

  • Jessica Sblachiero

  • Valeria Caggiano

  • Antonio Vitale

  • Henrique Ayres Mayrink Giardini

  • Giuseppe Lopalco

  • Fabrizio Conti

  • Paolo Moscato

  • Chiara Cardamone

  • Ewa Wiesik-Szewczy

  • Andrés González-García

  • Amato De Paulis

  • Rosetta Vitetta

  • Perla Ayumi Kawakami-Campos

  • Alessandra Brancaleoni

  • Andrea Mercanti

  • Alessandra Renieri

  • Monica Bocchia

  • Gaafar Ragab

  • Vishali Gupta

  • Alejandra de-la-Torre

  • Bruno Frediani

  • Carmelo Gurnari

  • Luca Cantarini

  • Claudia Fabiani

  • June 19, 2026

  • 0 min

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Objective:

To detail the ophthalmic involvement in patients with VEXAS syndrome and assess its association with mortality.

Approach:
    Key Findings:
    • Ophthalmic inflammation occurred in 47.7% of patients, often present at disease onset.
    • Anterior uveitis and anterior diffuse scleritis were the most common forms of ocular involvement.
    • Ophthalmic involvement was significantly associated with relapsing polychondritis (p = 0.014).
    • Patients with ocular involvement had a higher mortality rate (RR 5.87, p = 0.016; OR 3.72, p = 0.026).
    • 66.7% of patients with ophthalmic involvement showed full or partial response to glucocorticosteroids.
    Interpretation:

    Ophthalmic involvement in VEXAS syndrome is common.

    Limitations:
    • The study is based on a relatively small cohort of 86 patients.
    • Data on the onset age of ophthalmic involvement was missing for some patients.
    Conclusion:

    Ophthalmic inflammation is a significant aspect of VEXAS syndrome.

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