Intermediate uveitis- how to cure?
Hello, my 51-year-old mother in law presented with a new and constant haze with shifting floaters in her right eye (OD) over the past several weeks. Vision and IOP were 20/25 and 22 mm Hg, respectively, OD. She had 1–2+ AC cell with 3–4+ vitreous cell and 1–2+ vitreous haze. There was no retinitis or retinal vasculitis by examination or fluorescein angiography. The left eye was completely uninvolved. She had suffered from episodic ‘black outs’ associated with IOP elevation and recurrent, acute anterior uveitis OD over the preceding 9 years. She was otherwise completely healthy with no significant medical, family or social history. Doctor suggested that it might be the case of intermediate uveitis. Please suggest that how to cure?
@titiksha If uveitis is caused by an underlying condition, treatment may focus on that specific condition. Usually the treatment for uveitis is the same regardless of the associated cause, as long as it is not infectious. The goal of treatment is to reduce the inflammation in your eye, as well as in other parts of the body, if present. In some cases, treatment may be necessary for months to years. Several treatment options are available.
Drugs that reduce inflammation. Your doctor may first prescribe eyedrops with an anti-inflammatory medication, such as a corticosteroid. Eyedrops are usually not enough to treat inflammation beyond the front of the eye, so a corticosteroid injection in or around the eye or corticosteroid tablets (taken by mouth) may be necessary.
Drugs that control spasms. Eyedrops that widen (dilate) the pupil may be prescribed to control spasms in the iris and ciliary body, which can help relieve eye pain.
Drugs that fight bacteria or viruses. If uveitis is caused by an infection, your doctor may prescribe antibiotics, antiviral medications or other medicines, with or without corticosteroids, to bring the infection under control.
Drugs that affect the immune system or destroy cells. You may need immunosuppressive drugs if your uveitis affects both eyes, doesn't respond well to corticosteroids or becomes severe enough to threaten your vision.