hello
Moderators: Mike Bartolatz, kwork
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tiffanymccalla
- Posts: 2
- Joined: Sun May 25, 2014 7:35 pm
hello
I am new to this site. I have bilateral iritis and I am hlab27 positive. This process has been frustrating to me because I am having a hard time getting my inflammation under control.
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Mike Bartolatz
- Posts: 6595
- Joined: Fri Feb 06, 2004 9:58 pm
Re: hello
welcome to the group!
HLA B27 uveitis can be very difficult to control. sometimes steroid injections to tissue surrounding the eye (not into the eye) are used to give a constant rate of absorption into the eye to quell the inflammation. then the specialist can use a steroid sparing approach to treatment giving an NSAID such as Celebrex, dolobid or Naproxen at prescription strength for about 6 months to see if the inflammation can be controlled. if it is, then you would stay on the NSAID for 2 years allowing the immune system to stop replicating the white blood cells that cause the uveitis. then you would slowly taper off the NSAID. the goal is 'off all steroids without inflammation" and the clock starts ticking once this is achieved. other meds such as the DMARD drugs Methotrexate, Cellcept or Imuran can also be used if NSAIDs don't work for you.
I strongly urge you to get an expert involved in your care, not just an ophthalmologist or retina specialist but a uveitis specialist or Ocular immunologist. they will know how to manage your care and they also know how to use the many drugs available to prevent long term damage to the eyes from inflammation. a list of these specialists can be found at http://www.uveitis.org located in the ABOUT THE SUPPORT GROUP section of the site. both USA and international lists are available.
please join us in our GENERAL discussion forum. click on BOARD INDEX in the header of this page to be re-directed to our list of forums,
wishing you the very best,
Mike
HLA B27 uveitis can be very difficult to control. sometimes steroid injections to tissue surrounding the eye (not into the eye) are used to give a constant rate of absorption into the eye to quell the inflammation. then the specialist can use a steroid sparing approach to treatment giving an NSAID such as Celebrex, dolobid or Naproxen at prescription strength for about 6 months to see if the inflammation can be controlled. if it is, then you would stay on the NSAID for 2 years allowing the immune system to stop replicating the white blood cells that cause the uveitis. then you would slowly taper off the NSAID. the goal is 'off all steroids without inflammation" and the clock starts ticking once this is achieved. other meds such as the DMARD drugs Methotrexate, Cellcept or Imuran can also be used if NSAIDs don't work for you.
I strongly urge you to get an expert involved in your care, not just an ophthalmologist or retina specialist but a uveitis specialist or Ocular immunologist. they will know how to manage your care and they also know how to use the many drugs available to prevent long term damage to the eyes from inflammation. a list of these specialists can be found at http://www.uveitis.org located in the ABOUT THE SUPPORT GROUP section of the site. both USA and international lists are available.
please join us in our GENERAL discussion forum. click on BOARD INDEX in the header of this page to be re-directed to our list of forums,
wishing you the very best,
Mike
Mike Bartolatz
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