The Department of Ophthalmology at University Vita-Salute in Milan, Italy has published a paper on their experience of treating difficult, uncontrolled and severe cases of noninfectious posterior uveitis (Birdshot is a noninfectious posterior uveitis) with dexamethasone intravitreal implants on top of systemic steroids. They found that, of the 12 patients they studied, all had decreased uveitis activity, increased visual acuity and reduction in the macular thickness after 9 months. Three patients were able to reduce their steroids. Only 3 of the eyes had an increase in intraocular pressure. Their conclusion is that dexamethasone may be a promising additional treatment for patients with sever posterior noninfectious uveitis which does not respond to immunosuppressants.
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I’ve had birdshot for almost 2 years. And it has decreased my vision and doctors have been trying to control flare ups with all different medications. I can’t tolerate what they have been giving me without side effects. So now I go in on the 25th of this month to get the implant done on left eye and then in 1 month the other. I’m hoping this works. I have had everything. I will keep people posted on how it works.
Good luck Candy. What type of implant are you having? We really hope it works for you. We expect you are aware that you may get cataracts and glaucoma and this can develop quite quickly afterwards so it may not be plain sailing. Be prepared for this. We would love to get your feed back as we are always getting asked about implants these days.