Wednesday, January 9, 2008

Iritis or anterior uveitis

Education on Tottie's JRA induced eye issues: Iritis is inflammation predominantly located in the iris of the eye. Inflammation in the iris is more correctly classified as anterior uveitis because there is also, often, inflammation of the ciliary body.

When the iris is inflamed,
white blood cells (leukocytes) are shed into the anterior chamber of the eye where they can be observed on slit lamp examination floating in the convection currents of the aqueous humor. These cells can be counted and form the basis for rating the degree of inflammation.

New questions that need to be asked:
  1. what is her degree of inflammation?

  2. How much longer on the topical steroid (we've been on hourly since November 14th & now orally 2.5 ml 2x a day for 4 days) till you want her off (risk of steroid induced issues) & we go to plan B?

  3. What would plan B look like?
Any other questions you would ask?

1 comment:

Lisa Milton said...

I would definitely ask about the plan b. Steroids are miraculous - they really can be - but they are tough on the body long term.

I'm weaning off mine right now. I know I will probably be on them again, but they lose their effectiveness over time.

So ask, ask away.

Stupid inflammation. Makes me see red.