What is included in follow-up care for uveitis?

Updated: Jan 15, 2019
  • Author: Monalisa N Muchatuta , MD, MS; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Follow-up care with an ophthalmologist within 24 hours is imperative.

In the acute phase, cases of uveitis are monitored every 1-7 days with slit-lamp examination and intraocular pressure measurements.

The ophthalmologist tapers steroids and cycloplegics. [19]

When the condition is stable, patients are monitored every 1-6 months.

Two sustained-release corticosteroid vitreous implants, (fluocinolone acetonide [Retisert, Yutiq] and dexamethasone [Ozurdex]), have been approved by the FDA for the treatment of inflammation-induced cases of panuveitis, intermediate uveitis, and posterior uveitis. [1] These implants preclude risks associated with systemic steroids and reduce the need for immunosuppressive agents while providing continuous therapy (approximately 30-36 months). [20, 21] The installation and monitoring of these treatment modalities should be managed by an ophthalmologist.


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