Vol 9, No 3 (2023)
Review paper
Published online: 2023-09-29

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Uveitis in rheumatic diseases — therapeutic management

Artur Bachta1, Anna Byszewska2, Robert Kruszewski1, Marek Rękas2, Mateusz Tłustochowicz2, Witold Tłustochowicz1
Rheumatology Forum 2023;9(3):112-118.

Abstract

Treatment of uveitis requires a special approach because of the risk of significant complications, including loss of vision. The causes of the disease cannot always be determined, but a significant proportion of cases have a strong association with systemic connective tissue disorders, particularly spondyloarthropathies. This indicates the need for cooperation between an ophthalmologist and a rheumatologist in order to provide the patient with proper care. Several stages can be distinguished in the course of treatment, depending on the duration of therapy and the persistence of symptoms. Current research data justify the use of topical and systemic corticosteroids, as well as immunosuppressive drugs in subsequent lines of therapy. The article summarizes current recommendations and clinical observations, and presents a therapeutic regimen based on them.

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