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Uveitis is inflammation
inside the eye, specifically affecting one or more of the three
parts of the eye that make up the uvea: the iris (the colored
part of the eye), the ciliary body (behind the iris, responsible
for manufacturing the fluid inside the eye) and the choroid (the
vascular lining tissue underneath the retina). Problems associated
with uveitis are relatively under-appreciated by the general
population and ophthalmologists alike. Few people realize, for
example, that the third leading cause of blindness in this country
is uveitis.
Approximately sixty different things can cause uveitis, and
the "detective work" involved in trying to discover
what a particular patients cause for their uveitis is may
be extremely tedious and costly. This "detective work"
is much more like diagnostic work involved in internal medicine
than like the typical work involved in the practice of ophthalmology.
Primarily for this reason, few ophthalmologists choose to specialize
in uveitis. Additionally, the care of some forms of uveitis requires
the use of systemic medications (nonsteroidal anti-inflammatory
drugs, steroids, and/or immunomodulators, "chemotherapy.")
This too, dissuades many ophthalmologists from the practical
care of patients with uveitis. There are, however, several centers
around the United States specializing in the care with patients
with this potential blinding problem. Additionally, increasing
numbers of younger ophthalmologists are spending time, after
completing their training in ophthalmology, getting specialty
training so that they may care for patients with uveitis.
Both infectious and non-infectious as well as malignant causes
for uveitis are represented in the spectrum of patients cared
for at the specialized centers. Clearly, then, "getting
to the bottom of it," and definitively identifying the cause
of the uveitis is quite critical, since proper choice of treatment
is so dependent on the underlying cause; the proper treatment
for one cause would in many instances frankly be deleterious
in the care of patients with uveitis from another cause. Uveitis
on the basis of autoimmunity is the most common form of uveitis.
Call Vision Care Center of Northeast
Arkansas
for more information 870-802-3937
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