Die intermediäre und eine posteriore Uveitis beschreiben akute oder chronische Entzündungen unterschiedlicher Ätiologie, die das hintere Segment des Auges betreffen. Pathognomonische
Zeichen dieser heterogenen Erkrankungen fehlen, sodass die Erkrankten meist lediglich eine Visusminderung oder Glaskörpertrübungen bemerken. Die Diagnostik ist multimodal und
interdisziplinär, und die Behandlung erfolgt entweder systemisch, lokal intravitreal oder parabulbär.
Abstract
Intermediate and posterior uveitis describes a broad variety of different types of intraocular inflammation. Before starting treatment of intermediate or posterior uveitis, a
differentiation between infectious or non-infectious uveitis must always be made. Pathognomonic symptoms do not exist, visual loss and vitreous floaters are the most common symptoms. The
indication for therapy is influenced by the anatomical localization, the degree of inflammation, an association, complications and the activity of the inflammation. In addition to clinical
ophthalmological standard examination, angiography and OCT are the most important investigations to classify and assess the course of inflammation. Macular edema is the most common
complication of intermediate or posterior uveitis and should be treated at first onset, recurrence, or worsening. Oral, intravenous, or intravitreal corticosteroids are usually the primary
therapy for intermediate or posterior uveitis. Systemic immunosuppression is indicated after steroid failure in non-infectious uveitis.
Schlüsselwörter Uveitis - Komplikationen - Therapie
Key words uveitis - complications - therapy
