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Uveítis - Treatment

Nombres alternativos

Iritis; Pars planitis; Coroiditis; Coriorretinitis; Uveítis anterior; Uveítis posterior

Tratamiento:

La iritis es por lo regular leve. El tratamiento puede involucrar:

  • Gafas oscuras
  • Gotas oftálmicas que dilaten la pupila para aliviar el dolor
  • Gotas oftálmicas con esteroides

La pars planitis a menudo se trata con gotas oftálmicas que contengan esteroides. Asimismo, se pueden recetar otros medicamentos, incluyendo esteroides orales, para ayudar a inhibir el sistema inmunitario.

El tratamiento de la uveítis posterior depende de la causa subyacente, pero casi siempre incluye esteroides por vía oral. Es posible que se necesiten especialistas adicionales en enfermedades infecciosas o autoinmunidad para enfermedades tales como la sífilis, la tuberculosis, el SIDA, la sarcoidosis o el síndrome de Behcet.

Si la uveítis es causada por una infección generalizada, el tratamiento puede consistir en antibióticos y antinflamatorios potentes llamados corticosteroides. Ver trastornos autoinmunitarios para obtener información sobre el tratamiento de tales enfermedades.

Expectativas (pronóstico):

Con el tratamiento apropiado, la mayoría de los ataques de uveítis anterior desaparecen en unos pocos días a semanas, pero es común que se presenten recaídas.

La inflamación relacionada con la uveítis posterior puede durar de meses a años y puede causar daño permanente de la visión, incluso con tratamiento.

Complicaciones:

Situaciones que requieren asistencia médica:

Solicite una cita con el médico si tiene síntomas de uveítis. El dolor en los ojos o la disminución en la visión son síntomas urgentes que requieren atención médica oportuna.

  • Reviewed last on: 7/28/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Goldstein DA, Pyatetsky D, Tessler HH. Classification, symptoms, and signs of uveitis. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2009:chap 32.

Goldstein DA, Horsley M, Ulanski LJ II, Tessler HH. Complications of uveitis and their management. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2009:chap 60.

Cunningham ET Jr, Nozik RA. Uveitis: Diagnostic approach and ancillary analysis. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2009:chap 37.

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