“You have: Giant cell arteritis, optic neuritis, severe non-infectious uveitis, inflammatory orbit disease etc. You need to be on steroids to suppress your immune system which is contributing to this disease. If left untreated this condition can lead to vision loss or blindness.”
It is important to exclude infectious causes that may worsen if left untreated in an immunosuppressed or diabetic patient e.g. tuberculosis, syphilis, fungal infections. However, in the setting of potentially blinding conditions (e.g. GCA), do not delay initiating steroid use while awaiting tissue confirmation of diagnosis.
“Systemic steroids can be given”:
Consider additional treatment of oral proton pump inhibitor and calcium / vitamin D supplementation. Long term steroid treatment should involve collaborative care with a patient’s GP / Rheumatologist / Immunologist / Endocrinologist as appropriate.
Significant systemic side effects are associated with systemic steroids and are largely dose related. Side effects / complications can be severe, especially in patients that need long term treatment:
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Vitreoretinal Surgery Online
This open-source textbook provides step-by-step instructions for the full spectrum of vitreoretinal surgical procedures. An international collaboration from over 90 authors worldwide, this text is rich in high quality videos and illustrations.