How is immune recovery uveitis in HIV infection treated?

Updated: Jun 12, 2019
  • Author: Robert A Copeland, Jr, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

Inflammation in the anterior chamber is treated with topical corticosteroids in a frequency typical of treating other forms of anterior uveitis. Immune recovery uveitis (IRU) with more severe vitreous inflammation and/or cystoid macular edema is typically treated with periocular corticosteroids (triamcinolone acetonide 40 mg) or short courses of oral corticosteroids, without recurrence of the CMV retinitis. The main advantage of periocular corticosteroids is the production of therapeutic local drug levels to avoid the potential problems of systemic corticosteroids in these immunosuppressed patients. [26, 27, 28]


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