Ophthalmology

Curbside Consultation in Uveitis: 49 Clinical Questions by Stephen Foster MD FACS

By Stephen Foster MD FACS

Are you searching for concise, sensible solutions to these questions which are frequently left unanswered via conventional references on uveitis? Are you looking short, evidence-based suggestion for the day-by-day exam of sufferers? Curbside session in Uveitis: forty nine medical Questions presents speedy and direct solutions to the thorny questions most ordinarily posed in the course of a “curbside session” among skilled clinicians.

Dr. Stephen Foster has designed this special reference within which uveitis experts supply specialist recommendation, personal tastes, and evaluations on difficult medical questions often encountered through ophthalmologists, citizens, and different wellbeing and fitness care pros. the original Q&A layout offers easy access to present details with regards to uveitis with the simplicity of a talk among colleagues. photographs, diagrams, and references are incorporated to reinforce the textual content and to demonstrate medical diagnoses and therapy plans.

Curbside session in Uveitis: forty nine scientific Questions offers info simple sufficient for citizens whereas additionally incorporating specialist pearls that even high-volume ophthalmologists will savor. Refractive surgeons, basic ophthalmologists, and citizens alike will benefit from the easy and informal format.

Some of the questions which are answered:
• How do the result of the Systemic Immunosuppressive remedy for Eye disorder (SITE) Cohort learn follow to the care of my sufferers with uveitis?
• How may still I review and deal with a sufferer with uveitis?
• How should still I deal with macular edema in a sufferer with uveitis?
• How should still I deal with a pregnant girl with macular threatening toxoplasmosis retinochoroiditis?
• whilst may still I refer a sufferer with uveitis to a uveitis specialist?

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Extra resources for Curbside Consultation in Uveitis: 49 Clinical Questions

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29 Figure 8-3. Toxoplasma gondii neuroretinitis with macular involvement in the left eye in a patient who needs to be treated with oral prednisone (1 mg/kg/day) along with systemic anti-Toxoplasma antibiotics. The ideal administration for oral prednisone is in a single dose given in the morning. This is more physiologic because the natural peak of adrenal corticosteroid production occurs at this time. It also helps to reduce insomnia. 5 g/day) along with vitamin D (400 to 800 IU/day) to retard bone loss, and I encourage them to stop smoking, do weight-bearing exercises, and get regular dualenergy x-ray absorptiometry (DEXA) scans.

Mamo JG. The rate of visual loss in Behçet’s disease. Arch Ophthalmol. 1970;84:451-452. 10. Rothova A, Berendschot TT, Probst K, van Kooij B, Baarsma GS. Birdshot chorioretinopathy: long-term manifestations and visual prognosis. Ophthalmology. 2004;111:954-959. 11. Thorne JE, Jabs DA, Peters GB, Hair D, Dunn JP, Kempen JH. Birdshot retinochoroidopathy: ocular complications and visual impairment. Am J Ophthalmol. 2005;140:45-51. 11 QUESTION HOW SHOULD ONE PROPERLY EMPLOY TOPICAL CORTICOSTEROID THERAPY?

4. Sanghvi C, Mercieca K, Jones NP. Very severe HLA B27-associated panuveitis mimicking endophthalmitis: a case series. Ocul Immunol Inflamm. 2010;18:139-141. 8 QUESTION WHEN SHOULD I CONSIDER USING SYSTEMIC CORTICOSTEROIDS TO TREAT UVEITIS? 2 During an acute attack of severe intraocular inflammation, systemic prednisone undoubtedly has the most effective and rapid response profile compared to any other kind of anti-inflammatory medication. 3 High-dose methyl-prednisolone intravenous pulse therapy is also recommended as initial therapy, followed by oral administration in patients with severe and/or uncontrolled ocular inflammation.

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