2017年8月16日星期三

What are the treatments for iritis?

Treatment of iritis 1. Drug treatment

There are oral medication, eye drops or subconjunctival injection and other means. Oral medication to give enough to start, in order to quickly control the inflammation, and finally with the minimum amount to maintain the inflammatory activity completely subsided mainly.

Preimplantation of uveitis local drops with 0.5% cortisone or 0.05% dexamethasone, 4 to 5 times a day, or once per hour, recovery period decreased. Sometimes can be under the conjunctival injection can be.

For patients with uveitis or choroiditis, 0.025% dexamethasone can be injected under the conjunctiva or under the fascia of the eye, or combined with systemic administration, with severe hydrocortisone or dexamethasone intravenous infusion once a day, This can be enough to reach the eye tissue.

(1) non-steroidal anti-inflammatory agent sodium salicylate and indomethacin analgesic and anti-inflammatory effect. Main inhibition of uveitis in the anterior chamber of prostaglandin increased in order to achieve anti-inflammatory or antihypertensive effect, commonly used as aspirin.

(2) antibiotics such as suppurative anterior uveitis can be applied locally or systemic broad-spectrum antibiotics.

(3) immunotherapy for severe uveitis and sympathetic ophthalmia, the use of hormones can be considered ineffective when the use of immunosuppressive agents or immune enhancer. To adjust the abnormal immune function, commonly used immunosuppressive agents are: ① cyclophosphamide can be used alone or with steroid therapy. ② B-dimorphine three times a day, even for 2 to 3 weeks, stop iridocyclitis 1 week, and then 1 to 2 courses. ③ pain can be Ning.

Commonly used immunostimulants are levamisole, for immunocompromised patients.

Iriditis treatment 2. Heat or short wave therapy

Expansion of blood vessels, promote blood circulation, strengthen the absorption of inflammation.

3. symptomatic treatment

(1) for secondary glaucoma can be oral administration of acetaminamide to intraocular pressure decreased.

(2) iris penis available iris puncture or iris resection.

(3) on the iris peripheral adhesions caused by secondary glaucoma feasible iris peripheral resection.

(4) on the cataracts can be under the control of inflammation in the cataract surgery.

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