Uveitis is the inflammation of the Uvea – a layer of the eye which is made up of Iris, Ciliary body and Choroid. If we think of the eye as a hollow, fluid-filled, 3-layered ball, then the outer most layer is the sclera (a tough coat), the inner-most is the retina, (the thin light-gathering layer), and the middle layer is the Uvea (the vascular layer).
The most important thing in the management of Uveitis is to ascertain the cause. The treatment then will depend on which areas of the eye are affected and what has caused the condition. Treatment is in the form of medication through drops and injections, but surgery can be used in particularly severe cases. We house the best infrastructure and state-of-the-art medical equipment so that you are in the best hands.
The majority of cases of uveitis are idiopathic. This means that the process occurs without a specific identifiable cause or an associated health problem elsewhere in the body. In some cases however, an underlying health condition may be present. Underlying causes of uveitis may be broadly categorized as autoimmune disorders, infections, trauma, malignancy or other causes. The eye needs to be examined very thoroughly to see what type of Uveitis you have. This usually involves instillation of eye drops to make the pupils wider so that the doctor can look into your eye more thoroughly. It is equally important to see if there is evidence of any other underlying cause like Auto immune disorders, infections, trauma etc. This may involve a whole variety of tests like blood tests, X-rays, scans, etc.
The findings may be very similar, but the Treatment of Uveitis varies significantly depending on the type and cause of the Uveitis.
The treatment of some forms of Uveitis may involve collaboration between ophthalmologists and other specialists such as rheumatologists, infectious disease specialists or oncologists. Most patients with acute Uveitis do not lose vision and treatment is aimed at controlling the inflammation to prevent any visual loss. The main causes of visual loss in patients with chronic Uveitis are cataract, glaucoma or damage to the back of the eye from high pressure inside the eye, and macular edema or ‘waterlogging’ of the retina due to the chronic inflammation.
Dr Neha Mohan is a Uveitis specialist at our centre. Having been trained under her mentor Dr Soumyava Basu, She was then the lead uveitis specialist at L V Prasad Eye Institute, Bhubaneswar. Her passion to treat uveitis and empathy towards her patients are specific traits.