Immunosuppressive therapy in non-infections uveitis and retinovasculitis

Purpose: to evaluate the efficacy and safety of the immunosuppressive therapy for severe forms of non-infections uveitis and retinovasculitis.Methods: 107 patients (62 males and 45 females aged 9 to 54 years) who received low dose methotrexate — 7.5-20 mg once a week (n=79) cyclosporine A 3.5-5.0 mg...

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Main Author: E. A. Drozdova
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2014-07-01
Series:Oftalʹmologiâ
Subjects:
Online Access:https://www.ophthalmojournal.com/opht/article/view/140
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author E. A. Drozdova
author_facet E. A. Drozdova
author_sort E. A. Drozdova
collection DOAJ
description Purpose: to evaluate the efficacy and safety of the immunosuppressive therapy for severe forms of non-infections uveitis and retinovasculitis.Methods: 107 patients (62 males and 45 females aged 9 to 54 years) who received low dose methotrexate — 7.5-20 mg once a week (n=79) cyclosporine A 3.5-5.0 mg/kg/d (n=21) with prednisone or other antimetabolites and local corticosteroid therapy for severe forms of inflammatory eye diseases.Results: the efficacy of methotrexate as monotherapy was 51.8% of patients with chronic uveitis. Control of acute inflammation was achived in 71.1% patients, who received methotrexate in combination with prednisolone. Cyclosporine A was more effective in controlling inflammatory of the eye: remission of uveitis was achived in 85.7% in combination with glucocorticoids. No significant side effects have been noted.Conclusion: Methotrexate and cyclosporine A with low dose of prednisolone are well tolerated immunosuppressive agents andrather effective in the treatment of non-infectious uveitis and retinovasculitis that fails to respond to conventional steroid treatment.
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spelling doaj-art-6ecfd9284b7743de955fb8a70cc94eec2025-08-04T14:32:17ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452014-07-0192586110.18008/1816-5095-2012-2-58-61140Immunosuppressive therapy in non-infections uveitis and retinovasculitisE. A. Drozdova0Государственное бюджетное образовательное учреждение высшего профессионального образования «Челябинская государственная медицинская академия» Минздравсоцразвития России, Челябинск, Россия, 454092 Челябинск, ул. Воровского, 64Purpose: to evaluate the efficacy and safety of the immunosuppressive therapy for severe forms of non-infections uveitis and retinovasculitis.Methods: 107 patients (62 males and 45 females aged 9 to 54 years) who received low dose methotrexate — 7.5-20 mg once a week (n=79) cyclosporine A 3.5-5.0 mg/kg/d (n=21) with prednisone or other antimetabolites and local corticosteroid therapy for severe forms of inflammatory eye diseases.Results: the efficacy of methotrexate as monotherapy was 51.8% of patients with chronic uveitis. Control of acute inflammation was achived in 71.1% patients, who received methotrexate in combination with prednisolone. Cyclosporine A was more effective in controlling inflammatory of the eye: remission of uveitis was achived in 85.7% in combination with glucocorticoids. No significant side effects have been noted.Conclusion: Methotrexate and cyclosporine A with low dose of prednisolone are well tolerated immunosuppressive agents andrather effective in the treatment of non-infectious uveitis and retinovasculitis that fails to respond to conventional steroid treatment.https://www.ophthalmojournal.com/opht/article/view/140uveitisretinovasculitisimmunosuppressive agents
spellingShingle E. A. Drozdova
Immunosuppressive therapy in non-infections uveitis and retinovasculitis
Oftalʹmologiâ
uveitis
retinovasculitis
immunosuppressive agents
title Immunosuppressive therapy in non-infections uveitis and retinovasculitis
title_full Immunosuppressive therapy in non-infections uveitis and retinovasculitis
title_fullStr Immunosuppressive therapy in non-infections uveitis and retinovasculitis
title_full_unstemmed Immunosuppressive therapy in non-infections uveitis and retinovasculitis
title_short Immunosuppressive therapy in non-infections uveitis and retinovasculitis
title_sort immunosuppressive therapy in non infections uveitis and retinovasculitis
topic uveitis
retinovasculitis
immunosuppressive agents
url https://www.ophthalmojournal.com/opht/article/view/140
work_keys_str_mv AT eadrozdova immunosuppressivetherapyinnoninfectionsuveitisandretinovasculitis