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Uveitis Treatment in London

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At a glance:

Uveitis Treatment

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Symptoms:

eye redness, pain, blurred vision, and sensitivity to light

Diagnosis:

a comprehensive eye examination, along with specific blood tests and imaging studies

Treatment:

varies based on the type and may include steroid eye drops, systemic anti-inflammatory therapy, or injections directly into the eye

What is Uveitis?

Uveitis is an eye condition characterised by inflammation of the uvea, the middle layer of the eye that consists of the iris, ciliary body, and choroid. This inflammation can cause redness, pain, light sensitivity, and blurred vision, potentially leading to permanent vision damage if untreated.

Uveitis can be triggered by many causes, including autoimmune disorders, infections (such as HIV, syphilis, tuberculosis, herpes, and toxoplasmosis), or trauma to the eye. Often, it involves an autoimmune response where the body’s immune system mistakenly attacks healthy tissue in the eye.

Other forms of ocular inflammation include scleritis (inflammation of the sclera, the outer protective layer of the eye), choroiditis (inflammation of the choroid), retinitis (inflammation of the retina), and optic neuritis (inflammation of the optic nerve). Each of these conditions can also lead to severe discomfort and vision impairment, which is why understanding and promptly treating ocular inflammations is essential.

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What are the Main Types of Uveitis?

Uveitis is categorised based on the part of the eye affected, and each type presents its own set of challenges and symptoms. The primary types of uveitis are:

Anterior Uveitis

This is the most common form of uveitis, affecting the front of the eye, particularly the iris or the iris and ciliary body (iritis). It is often associated with diseases such as rheumatoid arthritis and juvenile idiopathic arthritis and can lead to complications such as glaucoma and cataracts if not managed effectively.

Intermediate Uveitis

This type affects the vitreous humour, the gel-like substance between the lens and the retina. Commonly linked to systemic diseases like sarcoidosis and multiple sclerosis, intermediate uveitis can cause complications like macular oedema.

Posterior Uveitis

Involving the back part of the eye, specifically the retina and choroid, this form of uveitis is less common but can be more severe, potentially leading to vision loss. Diseases associated with posterior uveitis include viral infections such as cytomegalovirus in patients with weakened immune systems.

Panuveitis

When inflammation affects all major parts of the eye, it is referred to as panuveitis. This extensive inflammation can be caused by infections or systemic inflammatory conditions and requires aggressive treatment to preserve vision.

When Should You See a Doctor?

Recognising the symptoms of uveitis early and seeking prompt medical attention is crucial for preventing potential complications and preserving your vision. If you experience any of the following symptoms, it’s important to consult a healthcare professional immediately:

Redness in the eye
Eye pain and discomfort
Blurred vision or floaters
Increased sensitivity to light (photophobia)

At Clinica London, our team of specialised ophthalmologists, led by Mr Harry Petrushkin, are equipped to diagnose and treat various forms of uveitis with the latest medical advancements. Our clinic in London offers a supportive environment where patients can receive personalised care tailored to their specific needs.

Whether you are experiencing mild irritation or more severe symptoms suggestive of uveitis, don’t hesitate to contact us. Early intervention is key to managing the condition effectively and avoiding long-term damage to your eyes.

waiting room sign at clinica london office

Uveitis Treatment

Before the Procedure

Before any treatment plan is initiated for uveitis, patients undergo a comprehensive evaluation to accurately determine the type and cause of the inflammation. This preliminary step involves:

Blood Tests: Conducted to screen for underlying systemic diseases such as autoimmune disorders or infections that could be causing or contributing to the uveitis. Common tests look for markers of infection as well as evidence of inflammation elsewhere in the body.
Imaging: Techniques like optical coherence tomography (OCT) and retinal angiography help assess the extent of inflammation and check for fluid accumulation or blood vessel changes in the eye.
Complete Eye Examination: Checking visual acuity, examining the front and back of the eye, and measuring intraocular pressure.
Review of Medical History: Understanding the patient’s overall health and any previous eye conditions or surgeries helps tailor the treatment approach to the individual’s specific needs.

Anterior Uveitis Treatment

The treatment for anterior uveitis is designed to rapidly reduce inflammation and alleviate pain and discomfort. The primary treatment strategy includes:

Steroid Eye Drops: These are the first line of treatment to quickly suppress inflammation.
Periocular or Intraocular Injections: If eye drops cannot effectively control the inflammation, steroid injections may be used.
Systemic Steroid Therapies: For severe cases, oral or intravenous steroids may be necessary.

This proactive approach is aimed at preventing the progression of the disease and avoiding complications such as cataracts and glaucoma, which could further impair vision.

Intermediate, Posterior, and Panuveitis Treatment

Intermediate, posterior, and panuveitis require different treatment strategies due to the potential for significant vision loss. The treatment often involves:

Systemic Anti-inflammatory Therapies: Oral or injectable medications that reduce immune system activity throughout the body, not just in the eyes.
Immunosuppressive Medications: These are used to control the immune response, particularly in patients who do not respond well to standard steroid therapy.
Intravitreal Injections: Direct injections into the eye of medication that targets inflammation can be crucial for managing severe cases.

These treatments are selected based on the specific type of uveitis and the overall health of the patient, aiming to preserve as much vision as possible while managing the underlying inflammation.

Recovery & Aftercare

The recovery process for uveitis is highly individualised and depends on the type of uveitis, its severity, and the effectiveness of the initial treatment. Most treatment plans involve a phased reduction of medications, closely monitored to ensure the inflammation does not recur.

During this phase, you may need to use maintenance therapies, such as lower-dose steroid eye drops or systemic medications, to keep the inflammation at bay while minimising the risk of side effects.

Lifestyle Adjustments & Patient Education

Effective management of uveitis extends beyond medical treatment to include lifestyle adjustments and comprehensive patient education. Patients are encouraged to manage stress, which can be a trigger for flare-ups, and to maintain a healthy lifestyle that supports immune system function.

Education about the disease, its potential triggers, and symptoms that necessitate immediate medical attention is provided to every patient. At Clinica London, our team of specialists ensures that patients receive the guidance needed to manage their condition proactively, understand their treatment regimen, and know when to seek further medical advice.

Risks & Aftercare

Risks of Uveitis Treatment

Treatment for uveitis, particularly when involving long-term medication, carries specific risks:

Steroid Therapy: Both systemic and local steroid therapies can increase intraocular pressure, potentially leading to cataracts or glaucoma.
Underlying Conditions: Patients with systemic diseases such as juvenile idiopathic arthritis are at an increased risk due to their need for more aggressive treatment.
Ocular Complications: The risk of severe inflammation can lead to secondary conditions, necessitating vigilant monitoring.

Aftercare

Effective aftercare is essential to mitigate risks and ensure the successful management of uveitis:

Regular Monitoring: Patients should undergo frequent checks of intraocular pressure and monitoring for ocular complications to adjust treatments as needed.
Adherence to Treatment Plans: Following the prescribed treatment regimen and keeping all follow-up appointments are crucial for controlling uveitis.
Lifestyle Adjustments: Adopting a healthy diet to support the immune system and managing stress can help minimise the likelihood of flare-ups.
Prompt Communication: Patients are encouraged to report any new symptoms or changes in their vision immediately to their healthcare provider.

Our consultantS

Mr Harry Petrushkin is an ophthalmologist specialising in both adult and paediatric uveitis. He is adept in treating a wide range of conditions, from anterior, intermediate, posterior, and panuveitis to complex cases like ocular tuberculosis, ocular sarcoidosis, and juvenile idiopathic arthritis (JIA) associated uveitis.

His expertise extends to managing infectious uveitis, Behcet’s Disease, uveitic cataracts, and ocular hypotony. He has a deep understanding of both common and rare ocular inflammatory disorders.

In addition to uveitis care, Mr Petrushkin excels in medical retina care, addressing severe retinal diseases such as dry and wet age-related macular degeneration, diabetic retinopathy, retinal artery and vein occlusion, central serous retinopathy, and myopic maculopathy.

Mr Harry Petrushkin

Consultant Ophthalmologist
Adult and Child Uveitis Specialist and Cataract Surgeon

Our clinic operates as a private surgery and is not affiliated with the NHS (National Health Service)

Pricing

Treatment	Price range

All consultants and specialists at Clinica London see insured medical patients.

Uveitis FAQS

Uveitis and scleritis are both inflammatory conditions affecting different layers of the eye, but their impact and symptoms differ significantly. Uveitis affects the uvea, the middle layer of the eye, leading to symptoms such as eye pain, blurred vision, redness, and sensitivity to light, and it, if left untreated, can result in serious complications including such vision loss.

Scleritis, however, involves the sclera, the tough outer layer, and is often more painful, associated with systemic autoimmune conditions such as rheumatoid arthritis, and can also lead to severe vision impairment.

While uveitis involves inflammation within the eye’s uvea and can lead to severe complications including vision loss, conjunctivitis affects the conjunctiva, the outermost layer of the eye and the inside of the eyelids.

Conjunctivitis, often referred to as pink eye, is usually caused by infections or allergies, resulting in itchy, watery eyes. While highly contagious, it is usually less severe than uveitis and does not typically cause long-term vision damage.

Yes, stress is known to be a potential trigger for a flare-up of uveitis. Managing stress through lifestyle adjustments and therapies can be an effective way to reduce the frequency and severity of uveitis episodes.

The frequency of eye exams depends on the type of uveitis, its severity, and how well it is being managed. Generally, patients with active uveitis should have their eyes examined every 1 to 3 months. Those in remission may require less frequent checks, but it is important to follow a tailored schedule recommended by your ophthalmologist.

Award Winning Clinic in London

Clinica London is a leading ophthalmology and dermatology medical clinic. It has a sense of passion for helping patients. The clinic’s consultants are highly skilled professionals who have received British, European, and international awards in their respective fields. Clinica is honest and offers transparent treatment advice in a relaxed and comfortable environment.

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Uveitis Treatment in London

Uveitis Treatment

What is Uveitis?

What are the Main Types of Uveitis?

Anterior Uveitis

Intermediate Uveitis

Posterior Uveitis

Panuveitis

When Should You See a Doctor?

Uveitis Treatment

Before the Procedure

Anterior Uveitis Treatment

Intermediate, Posterior, and Panuveitis Treatment

Recovery & Aftercare

Lifestyle Adjustments & Patient Education

Risks & Aftercare

Risks of Uveitis Treatment

Aftercare

Our consultantS

Mr Harry Petrushkin

Uveitis FAQS

Award Winning Clinic in London

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