Intermediate and Posterior Uveitis - Classification, diagnostics, complications, and therapeutic algorithms

Klin Monbl Augenheilkd. 2023 Nov 17. doi: 10.1055/a-2193-2509. Online ahead of print.ABSTRACTIntermediate and posterior uveitis describes a broad variety of different types of intraocular inflammation. Before starting treatment of intermediate or posterior uveitis, a differentiation between infectious or non-infectious uveitis must always be made. Pathognomonic symptoms do not exist, visual loss and vitreous floaters are the most common symptoms. The indication for therapy is influenced by the anatomical localization, the degree of inflammation, an association, complications and the activity of the inflammation. In addition to clinical ophthalmological standard examination, angiography and OCT are the most important investigations to classify and assess the course of inflammation. Macular edema is the most common complication of intermediate or posterior uveitis and should be treated at first onset, recurrence, or worsening. Oral, intravenous, or intravitreal corticosteroids are usually the primary therapy for intermediate or posterior uveitis. Systemic immunosuppression is indicated after steroid failure in non-infectious uveitis.PMID:37977203 | DOI:10.1055/a-2193-2509
Source: Klinische Monatsblatter fur Augenheilkunde - Category: Opthalmology Authors: Source Type: research