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Uveitis - Management
How do I manage someone with recurrent or chronic uveitis in primary care?
- Refer people with recurrent or chronic uveitis to an ophthalmologist for each episode, to confirm the diagnosis and treatment.
- Do not initiate treatment, unless asked to do so by an ophthalmologist.
- Uveitis should be managed by an ophthalmologist; however, primary healthcare professionals:
- May be asked to monitor the person for adverse effects of long-term oral corticosteroids (continuous or repeated courses).
- May be asked to monitor the use of disease-modifying antirheumatic drugs (DMARDs) or immunosuppressants, depending on locally-agreed shared care guidelines. For more information, see the CKS topic on DMARDs.
- Should ensure that people receiving repeat prescriptions of topical corticosteroids are under the care of an ophthalmologist (to monitor for steroid-induced glaucoma).
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