Treatment
- Started after confirmation of the diagnosis.
- Local steroid therapy, e.g. dexamethasone drops, one drop every 1–2 hours at the beginning, later 4–6 times a day. Steroid ointment for the night.
- Long-acting cycloplegic medication, e.g. atropine or scopolamine one drop 1–2 times daily.
- The treatment is continued at the same frequency (steroid drops) until the first check up, usually within a week, and after that according to the response.
- In severe iridocyclitis (fibrin, even hypopyon in the anterior chamber, high intraocular pressure, posterior synechiae) paraocular steroid injections or peroral steroids may be indicated.
- In frequently recurring iridocyclitis, sulphasalazine may be tried as a prophylaxis for patients with a rheumatoid disease.
- Methotrexate or treatment with antibodies are sometimes required in the management of iritis in children with juvenile rheumatoid arthritis.
Copyright © 2010 Duodecim Medical Publications Limited.
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