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Uveitis

The uvea is the intermediate vascular coat of the eye which comprises the iris, ciliary body and choroid. Uveitis implies an inflammation of the uveal tract of the eye. Uveitis can be subdivided into:

  • Anterior uveitis - inflammation in the front of the eye
  • Intermediate uveitis - inflammation of the vitreous cavity and peripheral retina
  • Posterior uveitis - inflammation of the back of the eye. This can be retinitis, choroiditis or vasculitis.

Symptoms

There can be many symptoms of uveitis:

  • Floaters
  • Blurry vision
  • Redness of the eye
  • Eye pain
  • Sensitivity to light

Cause

It can be caused by autoimmune disorders, infection or foreign toxins, but often the cause is unknown.

Examination

The doctor will perform a full ophthalmic evaluation in order to determine what type of uveitis is present. Various testing modalities can be used in order to assist in the diagnosis.

Treatment

Most cases can be treated with steroids in the form of eye drops, pills or injections to reduce the eye inflammation. But other treatments are also available. Your doctor will decide the best treatment for you.

Retinal Treatment Options

Retinal Laser - Retinal laser is an in-office procedure that takes minutes to perform using light waves. Retinal laser can be used to treat many different eye diseases such as macular degeneration, retinal vein occlusion, retinal tear or retinal detachment and diabetic retinopathy.

Cryoretinopexy – This is another option that can be performed in minutes in the office. It is used to treat retinal tears and retinal detachment.

Visudyne® Photodynamic Therapy – Frequently used for the treatment of wet age-related macular degeneration or central serous retinopathy, Visudyne® photodynamic therapy is a painless method that takes only seconds to perform.

Subtenons Kenalog Treatment – This treatment is often used in cases of inflammation of the eye called uveitis or cystoid macular edema (swollen macula). It takes seconds to do and is a painless, in-office procedure.

Intravitreal Medications - There are various medications that can be injected within the vitreous cavity. These procedures take seconds to perform. These are essentially painless and allow the doctor to treat diseases that until recently have not been treatable. Various medications such as Macugen®, Avastin®, Lucentis®, Eylea™, Triesence®, Kenalog®, Dexamethasone and Ozurdex® as well as others can be injected into the vitreous cavity and can often prevent severe visual loss.

Pneumatic Retinopexy – This is an in-office procedure that takes minutes to perform. Using an in-office gas with laser or cryoretinopexy, the doctor can repair retinal detachments without having to go to the operating room.

Scleral Buckle – This procedure is done in an operating room, often under local anesthesia, in order to repair retinal detachments.

retinal treatment

pars plans vitrectomy
for vitreous hemorrhage

Pars Plana Vitrectomy – Performed in an operating room under local anesthesia, pars plana vitrectomy can treat many different diseases of the eye. These diseases include non-clearing vitreous hemorrhages, macular pucker (epiretinal membrane), macular hole, retinal detachment and diabetic retinopathy. It can also repair certain complications associated with cataract or glaucoma surgeries and many other vitreoretinal diseases.

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