Clinical pearls for treating uveitis
Uveitis presents particular problems for ophthalmologists. Inflammation inside the eye can occur from so many causes that the diagnosis often requires painstaking, time-consuming investigation. As researchers have learned more about the disease in recent years, the possible etiologies and treatments have multiplied.
In advising colleagues on uveitis, top experts emphasize patience.
“Why do doctors go into ophthalmology?” asked Stephen Foster, MD. “Mostly, it’s because they are running away from internal medicine. They like intellectual matters and manual dexterity matters and, hence microsurgery. They are very gratified by quick results. Doing the detective hunt required by uveitis with the delayed gratification satisfies very few.”
Dr. Foster is a clinical professor at Harvard University, Boston, and the author of more than 1,000 articles on uveitis. He and Justine Smith, FRANZCO, PhD, a strategic professor at Flinders University, Adelaide, Australia, and president the American Uveitis Society, offered the following clinical pearls for uveitis management.