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Practice patterns regarding regional corticosteroid treatment in noninfectious Uveitis: a survey study
Matthew McHarg1,2, LeAnne Young1,3, Natasha Kesav1,4
1National Eye Institute, National Institutes of Health, 10 Center Dr, 10/10N109, Bethesda, MD, 20892, USA.
Journal of Ophthalmic Inflammation and Infection
|January 4, 2022
Summary
Ophthalmologists use regional corticosteroids more for posterior and unilateral uveitis, avoiding them in young children. Practice patterns vary, indicating a need for treatment guidelines.
Area of Science:
- Ophthalmology
- Pharmacology
Background:
- Regional corticosteroid therapy is established for noninfectious uveitis.
- Current usage patterns require extensive study.
- Assessing specialist preferences for local corticosteroid therapy is crucial.
Purpose of the Study:
- To assess practice patterns of retina and uveitis specialists.
- To understand preferences in regional corticosteroid use for specific situations and populations.
Main Methods:
- A 13-question survey was developed.
- Survey focused on regional corticosteroid use in specific scenarios.
- Distributed to the American Uveitis Society and Macula Society.
Main Results:
- 87 ophthalmologists responded.
- Dexamethasone intravitreal implant and posterior sub-tenon's triamcinolone were most common.
- More frequent use in posterior (39.1-46.0%) vs. anterior uveitis (10.3%).
- Higher willingness in unilateral (54.7%) vs. bilateral uveitis (18.6%).
- 67.1% avoided in patients under 8 years old.
Conclusions:
- Regional corticosteroid use is more frequent in posterior segment uveitis and unilateral cases.
- Avoidance of regional corticosteroids in younger pediatric patients is common.
- Variability highlights the need for clinical guidelines on regional corticosteroid use.
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