Eye Involvement of Rheumatic Diseases |
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Overview |
| Rheumatic diseases, as well as some medications used to treat them such as Plaquenil, can affect the eyes so it is important to see an opthalmologist for regular screening and treatment. An opthalmologist is a medical doctor who specializes in eye diseases and eye surgery. They should not to be confused with optometrists who prescribe vision correction. (Also see: Scleroderma Eye Involvement, What is Scleroderma?, Types of Scleroderma, Systemic Sclerosis and Sjogren's Syndrome) |
| Ophthalmological involvement in rheumatic disease. The main conclusion of our study is that rheumatic patients need to be referred to an ophthalmologist for the diagnosis and the optimal treatment of ocular involvement. PubMed. Oftalmologia. 2006;50(2):56-61. |
| Vascular Retinopathy |
| Therapy insight: The recognition and treatment of retinal manifestations of systemic vasculitis. A variety of retinal signs can occur in patients who have systemic vasculitides, or who experience complications of these diseases or their treatment. Although treatment of these retinal manifestations is usually the treatment of the systemic disease, specific treatment is occasionally indicated to preserve vision. PubMed. Nat Clin Pract Rheumatol. 2006 Aug;2(8):443-51. (Also see: Vasculitis) |
| Proliferative vascular retinopathy in polymyositis and dermatomyositis with scleroderma (overlap syndrome). Retinal vascular occlusion with development of proliferative changes can occur in polymyositis/dermatomyositis. PubMed. Ocul Immunol Inflamm. 2007 Jan-Feb;15(1):45-9. (Also see: Polymyositis/Dermatomyositis) |
LASIK (Laser Eye Surgery) in Autoimmune Diseases |
| Laser in situ keratomileusis (LASIK) in patients with autoimmune diseases. Laser in situ keratomileusis may be a reasonable option in patients with well-controlled or inactive autoimmune disease. PubMed. J Cataract Refract Surg. 2006 Aug;32(8):1292-5. |
| LASIK in Patients with Rheumatic Diseases A Pilot Study. In this small series, we found good outcomes when correcting refractive errors using LASIK in selected patients with controlled rheumatic diseases. In this series, a favorable postoperative visual outcome was obtained with no operative or postoperative vision-threatening complications. PubMed. Ophthalmology. 2005 Sep 14. |
Dry Eyes |
| Eyes That Water Easily May Actually be Caused by Eye Dryness. There's a host of other factors that can contribute to dry eyes. LASIK surgery, and some underlying medical conditions such as diabetes, rheumatoid arthritis, scleroderma, Sjogren's syndrome and vitamin A deficiency can cause dry eyes. Medical Edge from Mayo Clinic (The Morning Call) 10/2/09. |
| Antibody Protein Array Analysis of the Tear Film Cytokines. Preliminary results using tears collected from patients with Sjogren's syndrome reveal methodological advantages of protein array technology and support the concept that autoimmune-mediated dry eye disease has an inflammatory component. Li, Shimin PhD. Optometry & Vision Science. August 2008. (Also see: Sjögren's) |
| Electrophoretic Diagnosis Of Ocular Involvement In Scleroderma Patients. Two-dimensional electrophoretic analysis of tear protein patterns of patients with scleroderma is a fast, reproducible and simple method that provides information for the diagnosis of keratoconjunctivitis sicca in these patients. V. Cojocaru AB0553-AHP EULAR 2008. |
| Modification of Lacrimal Film in Patients with Rheumatoid Arthritis (RA) Treated with Etanercept. Etanercept improved ocular dryness in patients with RA and dry eyes without secondary Sjogren's Syndrome (SS). As previous studies have failed to demonstrate any effect of this drug in SS it is possible to hypotesize that the physiopathologic mechanism of dry eye is different in SS patients and non-SS patients. F. Ceccarelli. [THU0217] EULAR 2006. |
| Prevalence of sicca symptoms in a South Australian cohort with systemic sclerosis(SSc).Out of 193 SSc patients, sicca symptoms (primarily dry eye) were present in 59% of patients with limited SSc, 49% of patients with diffuse SSc and 40% of patients with the overlap syndrome.This study confirmed that sicca symptoms are found in a high proportion of patients with SSc. Swaminathan S. (PubMed) Intern Med J. 2008 Apr 14. |
Hello, I am Dr. Liz Irvin, your ISN Guide to Eye Involvement.