[Treatment of noninfectious intermediate uveitis, posterior uveitis, or panuveitis].

[Treatment of noninfectious intermediate uveitis, posterior uveitis, or panuveitis]. J Fr Ophtalmol. 2019 Dec 06;: Authors: Couret C, Ducloyer JB, Touhami S, Angioi-Duprez K, Rougier MB, Labalette P, Titah C, Cochereau I, Kodjikian L, Mura F, Chiquet C, Weber M, Bodaghi B Abstract Controlling long-term inflammation during non-infectious intermediate, posterior or panuveitis while limiting side effects remains challenging. There is no standardized pre-therapeutic evaluation providing diagnostic certainty, but some simple tests allow us to identifiy the main etiologies. The ophthalmologist identifies the type of uveitis, and the internist completes the investigations according to the ophthalmologist's findings. Fundus photographs, optical coherence tomography, and fluorescein and indocyanine green angiography should be considered during diagnosis and follow-up. Ocular complications of uveitis are numerous. They require close monitoring and specific medical and sometimes surgical management. The growing number of available drugs makes it possible to optimize the management of these conditions with varied etiologies and presentations. Currently, systemic corticosteroids remain the mainstay of therapy, and other alternatives are considered in the case of poor tolerance, steroid resistance or dependence. The choice of a systemic, periocular or intravitreal treatment depends on several factors: chronicity or recurrence of uveitis, duration,...
Source: Journal Francais d Ophtalmologie - Category: Opthalmology Tags: J Fr Ophtalmol Source Type: research