How would you approach management of active bilateral pan uveitis in patients who have a history of prior infectious uveitis?
Patient with history of toxoplasma chorioretinitis, currently on oral and topical prednisone.
Answer from: at Academic Institution
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...
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Answer from: at Community Practice
I agree with Dr. @Nowatzky's scholarly reply. Toxoplasmosis is a relatively common cause of chorioretinitis. It frequently causes bilateral scars, but when it reactivates from a scar, it does so in just one eye-unless the patient is severely immunocompromised.
The prevalence of uveitis is rou...