Steroid dependent optic neuritis

The point is (and all the others who have responded to you already have emphasized this), it is very clear that you need the help of those who deal with difficult uveitis cases day in and day out (link to list of uveitis specialists). Unfortunately, it appears that you must be prepared to travel to get the help of such a person. But do it you must; and the consultant whom you choose will undoubtedly want to see you again, too. But he or she will also want to work with an ophthalmologist and perhaps a second specialist (., a rheumatologist or a hematologist) in an effort to give to you the care that you need to preserve the vision you have, and hopefully to get back at least a little of what you have lost.

Posterior capsular opacification, also known as after-cataract, is a condition in which months or years after successful cataract surgery, vision deteriorates or problems with glare and light scattering recur, usually due to thickening of the back or posterior capsule surrounding the implanted lens, so-called 'posterior lens capsule opacification'. Growth of natural lens cells remaining after the natural lens was removed may be the cause, and the younger the patient, the greater the chance of this occurring. Management involves cutting a small, circular area in the posterior capsule with targeted beams of energy from a laser, called Nd:YAG laser capsulotomy, after the type of laser used. The laser can be aimed very accurately, and the small part of the capsule which is cut falls harmlessly to the bottom of the inside of the eye. This procedure leaves sufficient capsule to hold the lens in place, but removes enough to allow light to pass directly through to the retina. Serious side effects are rare. [56] Posterior capsular opacification is common and occurs following up to one in four operations, but these rates are decreasing following the introduction of modern intraocular lenses together with a better understanding of the causes.

It has been recommended in the current Clinical Practice Guidelines (2011) by the Endocrine Society - a professional, international medical organization in the field of endocrinology and metabolism - that all patients with pituitary incidentalomas undergo a complete medical history and physical examination , laboratory evaluations to screen for hormone hypersecretion and for hypopituitarism . If the lesion is in close proximity to the optic nerves or optic chiasm , a visual field examination should be performed. For those with incidentalomas which do not require surgical removal, follow up clinical assessments and neuroimaging should be performed as well follow-up visual field examinations for incidentalomas that abut or compress the optic nerve and chiasm and follow-up endocrine testing for macroincidentalomas. [37]

Steroid dependent optic neuritis

steroid dependent optic neuritis

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