Treatment of Posterior Uveitis or Panuveitis in Ocular Sarcoidosis
Clinical Scenario
This protocol addresses ocular sarcoidosis presenting with posterior uveitis or panuveitis — involvement that extends to the posterior segment and typically cannot be managed with topical measures alone.
Why Systemic Therapy Is Usually Required
For posterior uveitis or panuveitis, systemic therapy is usually used. Posterior and panuveal involvement carries greater risk to visual function, and local treatment is often insufficient to achieve adequate disease control.
References
- For posterior uveitis or panuveitis, systemic therapy is usually used.
- If greater than 10 mg prednisone is needed to control the disease, then corticosteroid-sparing drugs should be used.
- Cytotoxic drugs such as methotrexate, azathioprine, and mycophenolate mofetil have been used with success.