SUMMARY OF UVEITIS ARTICLE

Below is a review of some of the more interesting (although perhaps debatable) points from the article "Develop a Flare for Uveitis" in this month's Review of Optometry:

"If the attack is not broken early, a longer duration of therapy becomes necessary."

The authors insist on using Pred Forte and not generic as they've had less success with generic and other steroids. I've seen this before in Review of Optometry.

The Pred Forte dosing at presentation is every 15 minutes for 6 hours followed by hourly dosing while awake until follow-up.

They recommend instilling one drop every minute for five minutes before retiring.

Cyclogel does not provide adequate cycloplegia. Instead they use scopolmine .25%, atropine 1%, or homatropine 5% (in mild cases).

Use 10% phenylephrine if synechia are not breaking with cycloplegia.

If patient is responding to therapy, reduce steroid to q2h. They do not taper steroids unti there are zero cells visible in the anterior chamber.

Uveitis usually takes six to eight weeks to resolve.

If several episodes of recurrence occur, employ oral NSAIDS along with a slower steroid taper.

Some patients may need oral steroids, non-steroidal agents, injectable steroids, systemic immunosuppressants, and even chemotherapy with an ocologist.