Dunn James P
Uveitis Unit, Retina Division, Wills Eye Hospital, Sidney Kimmel Medical College, Thomas Jefferson University, 840 Walnut Street, Suite 1020, Philadelphia, PA 19107, USA.
Prim Care. 2015 Sep;42(3):305-23. doi: 10.1016/j.pop.2015.05.003. Epub 2015 Jul 7.
Multidisciplinary management in the diagnosis and management of patients with ocular inflammatory disease is often critical. The workup of uveitis or scleritis may reveal an underlying systemic disease. Recognition of inflammation by the primary care physician can facilitate prompt referral to a uveitis specialist and improve patient outcomes. The primary care physician can assist the ophthalmologist in monitoring for potential side effects of corticosteroids and immunosuppressive drugs, including the newer biologic agents. The ophthalmologist in turn can assist the primary care physician in recognizing that active uveitis may suggest incomplete control of preexisting conditions.
多学科管理对于眼部炎性疾病患者的诊断和治疗往往至关重要。葡萄膜炎或巩膜炎的检查可能会揭示潜在的全身性疾病。初级保健医生对炎症的识别有助于及时转诊至葡萄膜炎专科医生，并改善患者的治疗效果。初级保健医生可以协助眼科医生监测皮质类固醇和免疫抑制药物（包括新型生物制剂）的潜在副作用。反过来，眼科医生可以协助初级保健医生认识到活动性葡萄膜炎可能提示先前存在的疾病控制不佳。
