Ophthalmology
Expert insights on ocular conditions, surgical techniques, retinal disease, and vision-related management.
Recent Discussions
How would you approach management of active bilateral pan uveitis in patients who have a history of prior infectious uveitis?
The first step in the approach to such a patient is information gathering. What type of infection caused uveitis in the past? How and for how long was it treated? What was the ocular disease phenotype in the past, what is it now (exceeding the definition of "panuveitis"), and what evidence exists to...
How would you approach persistent episcleritis/uveitis due to PR3+ GPA, which needs low dose prednisone to control, despite induction with Rituximab?
In patients who have refractory inflammatory eye disease despite rituximab, I have worked with ophthalmology to determine whether baseline escalation in immunosuppressive medication is indicated or if targeted organ therapy is an option. In general, there is more urgency when there is chronic active...
Is there a dose to the lens that would be a contraindication for future cataract surgery?
I am not aware of any such dose limitation. Development of cataracts is not an acute process and consultation with an ophthalmologist would be the most appropriate course of action to determine when the surgery can be performed.
How long do you continue immunosuppression in patients with Behcet's who have a history of mucocutaneous and ocular disease, but are now in remission?
There are insufficient data to answer this question comprehensively at this point. Some have studied anti-TNF withdrawal in Behçet’s uveitis, but the results do not yet allow conclusions that are firm enough to direct patient care, in my opinion. In every Behçet's disease (BD) patient, it is crucia...