# Infectious retinitis associated with JAK inhibitors: the ongoing duality of JAK inhibitors

**Authors:** Jose S. Pulido, Fukutaro Mano, Marcello Casella, Susumu Ishida

PMC · DOI: 10.1186/s40942-026-00823-4 · 2026-03-06

## TL;DR

This paper highlights the risk of vision-threatening eye infections caused by JAK inhibitors, urging prompt specialist care when symptoms arise.

## Contribution

The paper adds new clinical cases and emphasizes the need for awareness of retinal complications linked to JAK inhibitors.

## Key findings

- Six cases of cytomegalovirus retinitis linked to JAK inhibitors have been reported.
- One case each of toxoplasma retinitis and herpetic scleritis was also associated with JAK inhibitors.
- Acute vision loss and floaters are warning signs requiring urgent referral to a retina specialist.

## Abstract

To discuss the recent evidence that Janus kinase (JAK) inhibitors can cause viral retinitis.

A commentary on the case report in this issue and a review of cases in the literature.

A total of 6 cases have now been reported of cytomegalovirus retinitis associated with Jak inhibitors. Additionally, there was a case of bilateral toxoplasma retinitis and a case of herpetic scleritis.

It is important to be aware of the potential blinding complications associated with JAK inhibitors and if the patient complains of acute vision loss and/or floaters, the patient should be emergently referred to a retina specialist.

## Linked entities

- **Proteins:** jak (Janus kinase)
- **Diseases:** cytomegalovirus retinitis (MONDO:0000878)

## Full-text entities

- **Diseases:** vision loss (MESH:D014786), CMV retinitis (MESH:D017726), inflammatory (MESH:D007249), herpetic scleritis (MESH:D015423), graft-versus-host disease (MESH:D006086), malignancies (MESH:D009369), polycythemia vera (MESH:D011087), ankylosing spondylitis (MESH:D013167), myelofibrosis (MESH:D055728), uveitis (MESH:D014605), CMV (MESH:D003586), Autoimmune diseases (MESH:D001327), herpesvirus infections (MESH:D006566), hematopoietic disorders (MESH:D019337), psoriatic arthritis (MESH:D015535), viral (MESH:D014777), giant cell arteritis (MESH:D013700), thrombosis (MESH:D013927), rheumatoid arthritis (MESH:D001172), floaters (MESH:C000726608), Progressive multifocal leukoencephalopathy (MESH:D007968), juvenile idiopathic arthritis (MESH:D001171), herpes simplex (MESH:D006561), Infectious retinitis (MESH:D012173), MACE (MESH:D002318), infections (MESH:D007239), Crohn's disease (MESH:D003424), sudden cardiovascular death (MESH:D003645), retinal complications (MESH:D012164), tuberculosis (MESH:D014376), ulcerative colitis (MESH:D003093), Herpes Zoster (MESH:D006562), fungal (MESH:D009181)
- **Chemicals:** upadacitinib (MESH:C000613732), tocilizumab (MESH:C502936), tofacitinib (MESH:C479163), methotrexate (MESH:D008727), ruxolitinib (MESH:C540383), prednisolone (MESH:D011239)
- **Species:** JC polyomavirus (no rank) [taxon 10632], Homo sapiens (human, species) [taxon 9606], Cytomegalovirus (genus) [taxon 10358]

---
Source: https://tomesphere.com/paper/PMC12964922