Iritis and Uveitis Treatment & Management

Updated: Jul 24, 2018
  • Author: Monalisa N Muchatuta , MD, MS; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Treatment

Emergency Department Care

The main goals in the emergency department are to correctly diagnose uveitis, to provide analgesia, and to refer the patient to an ophthalmologist [15] for possible initiation of topical steroids.

Although the patient's eye is erythematous and cells are present in the anterior chamber, antibiotics are not indicated.

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Consultations

Patients with possible uveitis should be examined by an ophthalmologist within 24 hours.

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Long-Term Monitoring

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.

The FDA recently approved two sustained-release corticosteroid vitreous implants (fluocinolone acetonide [Retisert], dexamethasone [Ozurdex]) 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 months). [20, 21]  The installation and monitoring of these treatment modalities should be managed by an ophthalmologist. 

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