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Is there any cure for uveitis?

Q: I am 26 years old. I have uveitis for the past one and a half years. During the first attack, on examination, my best corrected visual acuity was 6/6, N6 in both eyes. Intraocular pressure was 10 mm Hg in the right eye and 16 mm Hg in the left eye. Slit lamp examination of the right eye showed, there was evidence of a pigmented lattice inferiorly. On evaluation of the fundus fluorescein angiography, I was diagnosed to have Harada’s disease. I was subsequently advised steroid eye drops in the right eye along with Homide eye drops and a follow up after 6 months. I was reviewed with the complaints of decrease in vision in the left eye. On examination, best corrected visual acuity was 6/6, N6 in the right eye and 6/18 in the left eye. Intraocular pressure was normal in both eyes. I was put on systemic and topical steroids and called for follow up after 2 months. I was again reviewed with the complaints of severe pain in the right eye and episodes of vomiting. On evaluation of the right eye, there was increased intraocular pressure with shallow AC, fundus evaluation showed evidence of subretinal fluid suggestive of serous retinal detachment. I was subsequently diagnosed to have an acute attack of Haradas disease presenting as acute angle closure glaucoma and was put on anti-glaucoma medication along with intravenous methyl prednisolone for 3 days. On presentation the best corrected visual acuity in the right eye was 1/60 and 6/6, N6 in the left eye. On examination, best corrected visual acuity in the right eye was 6/9, N6 and 6/6, N6 in the left eye. Intraocular pressure was normal in both eyes. Fundus was unremarkable in both eyes. I was put on tapering dosage of systemic and topical steroids and called for review after 2 months. This is my case history so far. But I still have some sensations in eyes, sometimes in the right eye and sometimes in the left. I am still taking steroids and putting Prednisolone drops to avoid reccurrence. I have gained weight and have had a missed abortion. I just want to put an end to steroids. The doctor says that there is no permanent treatment for this.

A:Unfortunately there is no permanent cure or way to prevent uveitis more so Haradas disease but just to treat it if and when symptoms start. Never delay start of intensive steroid or other treatment recommended by your eye specialist otherwise I have seen patients going blind with it. Don't waste time in homeopathic or other alternative therapy. Keep extra steroid drops in the fridge unopened if you can so that treatment is not delayed even before you go to see the eye specialist. Make sure follow up arrangements are local and readily available. You are lucky that with good treatment that your sight has returned. Keep positive attitude of mind. Relax with yoga etc. as whenever your general health is run down or you are under worry or stress the recurrence will bother you.

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