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Fusun Uzunoglu

Fusun Uzunoglu

World Eye Hospital, Turkey

Title: Steroids and Uveitis: Saver or killer?

Biography

Biography: Fusun Uzunoglu

Abstract

Steroids are the first rank sight saver when uveitis is concerned. Be it systemic, topical or local, they are the standard therapy for uveitis, regardless of etiology, 50 % being linked to  systemic diseases. Even though uveitis has an autoimmune basis unrelated to location in the eye, it may as well be triggered by infectious diseases : parasitic, bacterial, viral and fungal. Steroids are started in concert with targeted therapy according to the real cause, which can at times be lethal if not diagnosed at the referral. Premature steroid use may obscure diagnostic tests and lead to supression of clinical signs which may be valuable clues for the uveitis specialist. “Masquerade syndromes” including   intraocular tumors and foreign bodies may be another topic of concern before intending  steroid therapy for uveitic diseases.