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Management of Central Serous Retinopathy whilst on Erdafitinib





          Central Serous Retinopathy/Retinal Pigment Epithelial Detachment


                                                    •    Withhold until resolution
          Asymptomatic;                             •    If resolves within 4 weeks, resume at next lower dose level
          clinical or diagnostic observations  •         If no recurrence for 1 month, consider re-escalation
          only                                      •    If stable for 2 consecutive eye exams but not resolved, resume
                                                         at next lower dose level


          Visual acuity 20/40 or better or ≤3       •    Withhold until resolution
          lines of decreased vision from
          baseline                                  •    If resolves within 4 weeks, may resume at next lower dose level


          Visual acuity worse than 20/40 or         •    Withhold until resolution
          >3 lines of decreased vision from         •    If resolves within 4 weeks, may resume 2 dose levels lower
          baseline                                  •    If recurs, consider permanent discontinuation


          Visual acuity 20/200 or worse in
          affected eye                              •    Permanently discontinue





  Janssen Inc. Product Monograph: Balversa. Janssen Canada Inc; 2019
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