Roadmap for Intermediate Uveitis, Part 2: Management

In the second part of this 2-part video on intermediate uveitis, Dr. Abdelsattar Farrag focuses on management of the disease. If there is associated systemic infection or disease, the patient will need to visit a specialist such as a neurologist or rheumatologist; if not, then only ocular management is needed. Actionable intermediate uveitis, which requires treatment rather than just observation, involves cystoid macular edema, decreased vision, disc swelling, and/or retinal vasculitis. For unilateral disease, consider sub-Tenon or orbital flow injection of triamcinolone acetonide 0.1 mL, repeatable after 6 to 8 weeks; for bilateral disease, consider a course of systemic steroids. Surgical options for intermediate uveitis treatment include pars plana vitrectomy (in cases of visual loss or suspected intraocular lymphoma) and retinal laser photocoagulation.

Financial Disclosures: Dr. Abdelsattar Farrag discloses a financial relationship with Optos (Lecture Fees/Speakers Bureau).