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On treatment for Uveitis since 3 years. How long will it take to cure permanently?

January 13, 2013. Respected Doctor, Good morning. This is Premkumar from Chennai. India. My wife is now getting treated for Uveitis for over 3 years. Currently she is on Nevenac eye drops, refresh tear drops. and dorsox. 2 weeks earlier, she complained of slight pain and the doctor prescribed Predforte. The pain is subsiding, and after examination of the eyes, she has been asked to continue Predforte for 10 more days, and taper the dose. Her eye pressure is normal, and has been advised to report back if there is blurring of vision or any other discomfort. She had undergone cataract surgery during 2009, when there was a flare up in one eye. About 10 years back, she was treated for iritis . She became normal within a year. But the present condition, Uveitis is existent for over 3 years. She was on a long course of Wysolone tablets, about a year back. She is terrified to turn back to the steroid prescriptions again. We would like to hear from your goodself on how long this will last. I want her to be back to complete normalcy. Can you please tell us how long will it take? Is there a necessity for a second opinion, and follow up elsewhere? I could not find the exact reason why the inflammation visits her quite often. What are the basic precautions she should take? Thank you , Doctor.
Asked On : Wed, 16 Jan 2013
Answers:  1 Views:  107
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Ophthalmologist 's  Response
Dear premkumar
Uveitis is inflammation of uvea. The causes for uveitis are very wide and include bacterial infections, viral infections, fungal infections, parasitic infections, allergy, autoimmune diseases, injury, systemic diseases like diabetes mellitus and so many. Even after extensive investigations to find out the underlying cause 30% of them will not show any underlying cause and are termed as idiopathic in cause.
The treatment is mainly by using steroids and immunosuppressive drugs in cases not responding to steroids.
Since she has taken treatment with steroids, I can now advice her to undergo investigations to find out the cause for uveitis. If any underlying cause is found out the treatment is basically by treatment of the underlying cause.
She can take second opinion from eye doctor and undergo investigations for complete evaluation and treatment.
Answered: Thu, 11 Jul 2013
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