Update on clinical characteristics and management of uveitic macular edema

Cystoid macular edema is a complication of uveitis which can lead to severe visual impairment if left untreated. Uveitic macular edema occurs when the balance between the water entering the eye and pumped out of the eye is altered thus losing equilibrium in the physiologic function of the retina. Ed...

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Main Authors: Jyotirmay Biswas, Radha Annamalai, Mominul Islam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Kerala Journal of Ophthalmology
Subjects:
Online Access:http://www.kjophthal.com/article.asp?issn=0976-6677;year=2017;volume=29;issue=1;spage=4;epage=8;aulast=Biswas
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author Jyotirmay Biswas
Radha Annamalai
Mominul Islam
author_facet Jyotirmay Biswas
Radha Annamalai
Mominul Islam
author_sort Jyotirmay Biswas
collection DOAJ
description Cystoid macular edema is a complication of uveitis which can lead to severe visual impairment if left untreated. Uveitic macular edema occurs when the balance between the water entering the eye and pumped out of the eye is altered thus losing equilibrium in the physiologic function of the retina. Edema has a negative impact on visual recovery in patients with uveitis and may continue to exist despite control of uveitis. This delayed resolution of edema observed clinically and by imaging is most frequent following intermediate uveitis, birdshot retinochoroidopathy, sarcoid uveitis, panuveitis, and iridocyclitis associated with human leukocyte antigen B27. Literature about management of uveitic macular edema is limited, and no consensus has been reached with regard to management protocol. Several treatment options exist including corticosteroids, nonsteroidal anti-inflammatory drugs, immunomodulatory agents, implants, and surgery. These therapies can be administered through various routes such as oral, topical, periocular, or intravitreal injections. A response to treatment is seen as decrease in macular thickness and improvement in visual acuity.
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spelling doaj.art-aa2a4a49d88d4d7eb3b479c622f12a8f2022-12-22T02:35:43ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772017-01-012914810.4103/kjo.kjo_52_17Update on clinical characteristics and management of uveitic macular edemaJyotirmay BiswasRadha AnnamalaiMominul IslamCystoid macular edema is a complication of uveitis which can lead to severe visual impairment if left untreated. Uveitic macular edema occurs when the balance between the water entering the eye and pumped out of the eye is altered thus losing equilibrium in the physiologic function of the retina. Edema has a negative impact on visual recovery in patients with uveitis and may continue to exist despite control of uveitis. This delayed resolution of edema observed clinically and by imaging is most frequent following intermediate uveitis, birdshot retinochoroidopathy, sarcoid uveitis, panuveitis, and iridocyclitis associated with human leukocyte antigen B27. Literature about management of uveitic macular edema is limited, and no consensus has been reached with regard to management protocol. Several treatment options exist including corticosteroids, nonsteroidal anti-inflammatory drugs, immunomodulatory agents, implants, and surgery. These therapies can be administered through various routes such as oral, topical, periocular, or intravitreal injections. A response to treatment is seen as decrease in macular thickness and improvement in visual acuity.http://www.kjophthal.com/article.asp?issn=0976-6677;year=2017;volume=29;issue=1;spage=4;epage=8;aulast=BiswasCorticosteroidscystoid macular edemaimmunomodulatorsuveitic macular edemavitrectomy
spellingShingle Jyotirmay Biswas
Radha Annamalai
Mominul Islam
Update on clinical characteristics and management of uveitic macular edema
Kerala Journal of Ophthalmology
Corticosteroids
cystoid macular edema
immunomodulators
uveitic macular edema
vitrectomy
title Update on clinical characteristics and management of uveitic macular edema
title_full Update on clinical characteristics and management of uveitic macular edema
title_fullStr Update on clinical characteristics and management of uveitic macular edema
title_full_unstemmed Update on clinical characteristics and management of uveitic macular edema
title_short Update on clinical characteristics and management of uveitic macular edema
title_sort update on clinical characteristics and management of uveitic macular edema
topic Corticosteroids
cystoid macular edema
immunomodulators
uveitic macular edema
vitrectomy
url http://www.kjophthal.com/article.asp?issn=0976-6677;year=2017;volume=29;issue=1;spage=4;epage=8;aulast=Biswas
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