The role of methotrexate in resolving ocular inflammation after specific therapy for presumed latent syphilitic uveitis and presumed tuberculosis-related uveitis.

作者: Ozlem Sahin , Alireza Ziaei

DOI: 10.1097/IAE.0000000000000080

关键词:

摘要: PURPOSE This study was designed to investigate whether the antiinflammatory and antiproliferative activity of oral intravitreal methotrexate (MTX) suppresses intraocular inflammation in patients with presumed latent syphilitic uveitis tuberculosis-related uveitis. METHODS Interventional prospective including three cases treated intravenous penicillin MTX, two standard antituberculosis therapy MTX injections. Treatment efficacy all assessed by best-corrected visual acuity, fundus fluorescein angiography, optical coherence tomography. RESULTS Four eyes 3 had improved suppression inflammation, resolution cystoid macular edema 6 months therapy. No recurrence observed 18 follow-up period after cessation MTX. Two showed injections 8 antituberculous CONCLUSION For first time treatment uveitis, we believe that might have an adjunctive role suppress reduce uveitic edema, prevent recurrences diseases.

参考文章(25)
Shantan Reddy, Emmett T. Cunningham Jr., Richard F. Spaide, Syphilitic retinitis with focal inflammatory accumulations. Ophthalmic Surgery Lasers & Imaging. ,vol. 37, pp. 429- 431 ,(2006) , 10.3928/15428877-20060901-13
Wan Hazabbah Wan Hitam, Shin Wei Pan, Zunaina Embong, Nor Sharina Yusof, Raja Azmi Mohd Noor, Syphilitic uveitis: report of 3 cases. International Journal of Ophthalmology. ,vol. 3, pp. 361- 364 ,(2010) , 10.3980/J.ISSN.2222-3959.2010.04.21
Phuc LeHoang, The gold standard of noninfectious uveitis: corticosteroids. Developments in ophthalmology. ,vol. 51, pp. 7- 28 ,(2012) , 10.1159/000336676
Sarah Shen, Tim O’Brien, Lei Mee Yap, H Miles Prince, Christopher J McCormack, The use of methotrexate in dermatology: a review. Australasian Journal of Dermatology. ,vol. 53, pp. 1- 18 ,(2012) , 10.1111/J.1440-0960.2011.00839.X
Saumil Sheth, Ryan Rush, Fulminant toxoplasmic retinochoroiditis following intravitreal triamcinolone administration. Indian Journal of Ophthalmology. ,vol. 60, pp. 141- 143 ,(2012) , 10.4103/0301-4738.94059
J Díaz-Manera, R Rojas-García, Isabel Illa, Treatment strategies for myasthenia gravis Expert Opinion on Pharmacotherapy. ,vol. 10, pp. 1329- 1342 ,(2009) , 10.1517/14656560902950619
Sophie X. Deng, Susan Penland, Sumit Gupta, Richard Fiscella, Deepak P. Edward, Howard H. Tessler, Debra A. Goldstein, Methotrexate Reduces the Complications of Endophthalmitis Resulting from Intravitreal Injection Compared with Dexamethasone in a Rabbit Model Investigative Ophthalmology & Visual Science. ,vol. 47, pp. 1516- 1521 ,(2006) , 10.1167/IOVS.05-0880
S. Frenkel, K. Hendler, T. Siegal, E. Shalom, J. Pe'er, Intravitreal methotrexate for treating vitreoretinal lymphoma: 10 years of experience British Journal of Ophthalmology. ,vol. 92, pp. 383- 388 ,(2008) , 10.1136/BJO.2007.127928
Sarju S. Patel, Nehali V. Saraiya, Howard H. Tessler, Debra A. Goldstein, Mycobacterial Ocular Inflammation JAMA Ophthalmology. ,vol. 131, pp. 752- 758 ,(2013) , 10.1001/JAMAOPHTHALMOL.2013.71
Sing Your Li, Andrea D Birnbaum, Howard H Tessler, Debra A Goldstein, None, Posterior syphilitic uveitis: clinical characteristics, co-infection with HIV, response to treatment Japanese Journal of Ophthalmology. ,vol. 55, pp. 486- 494 ,(2011) , 10.1007/S10384-011-0053-Z