Sougtherncarrie,
welcome to the group!. you are fortunate that you live close to Professor Russel Read in Birmingham. Please contact him for evaluation and treatment.
it is possible to have no red eye with intermediate or posterior uveitis. you could be experiencing spill over of cells into the anterior chamber with resultant 'mild iritis' and have no red eye present. I'm with you in that any time one has a history of uveitis, CME etc it is very important to treat it aggressively and Dr Read can as he is an ocular immunologist trained to use modern treatment for this type of inflammation. CME if not treated can lead to loss of vision as can the posterior uveitis should other things occur such as vascularization of the retina with possible detachment and bleeding.
Dr Reads contact information can be found at
http://www.uveitis.org in the PATIENT information section of the site on the USA specialist list.
posterior uveitis would that is bilateral would indicate that there is an underlying systemic disease or pathogen causing the inflammation and when more than one segment of the eye is involved it is even more likely that a systemic disease or pathogen is the culprit. finding out what is the cause and treating it is the key to stopping this process. a very dense type of cataract called subcapsular cataracts occur from the inflammatory processes. they can stay small for some time and then rapidly grow. some individuals develop cataracts from corticosteroid use as well as glaucoma so pressure checks need to be done.
a steroid sparing approach to treatment should be initiated for you. CME is treated with drugs injected into the eye such as AVASTIN, which stops blood vessel growth and leakage resulting in the cystoid Macular Edema.
have you been tested for things such as sarcoidosis, Systemic lupus erythematosus, Behcet's disease, Vogt Koyanagi harada's disease and forms of arthritis sometimes seen with connective tissue disease? Do you have a history of kidney infections (TINU)? a history of Juvenile Rheumatoid arthritis (now known as Juvenile Ideopathic Arthritis)? does your immediate family have a history of autoimmune disease?
please join us in our General discussion forum where I can help you through this.
Take Care,
Mike
