Research shows that the same arthritic inflammation that causes joint problems might also cause damage in other areas of your body, including your vision. One Arthritis Today reader asked us how psoriatic arthritis can lead to potential vision problems. Read on to find out more about what causes these complications and how to treat them, with answers from an expert rheumatologist in Toronto
Question From a Reader:
I have psoriatic arthritis and often hear that it can lead to eye and vision problems. What are these problems and is there anything I can do to avoid them?
Answer From Dafna D. Gladman, MD, rheumatologist at Toronto Western Hospital:
About 7% of people with psoriatic arthritis develop uveitis, an inflammation of the uvea, the middle layer of the eye, which provides most of the retina’s blood supply.Uveitisis also associated withspondyloarthritisandjuvenile idiopathic arthritis. Symptoms may include blurred vision, eye pain, redness, light sensitivity and the presence of dark, floating spots in the vision field. Uveitis must be diagnosed by an ophthalmologist and treated appropriately in order to prevent complications such as cataracts, glaucoma, retinal detachment and vision loss. Treatment for uveitis may include corticosteroid eye drops, oralcorticosteroidsand/or or immunosuppressive medications such as traditionaldisease-modifying antirheumatic drugsandbiologic agents. Treated properly, uveitis can go away, but relapses may occur. It is possible that controlling the underlying disease prevents uveitis, although this has not been proven.
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我有PsA和它带来的所有东西。我一有信号弹就会肿。如果你在耀斑期间或在压力下没有感觉眼睛肿胀，那么你可能没有什么好担心的。我已经注意到，每次大耀斑影响我的眼睛后，我的视力会略微下降。我还没有看过眼科医生，但我正在尽力控制我的症状。
Hi, good advice on the eye complications. I have AS, was having regular flare ups of iritis and went to Sydney Eye Hospital because it was free… couldn’t cope with more specialist bills. bad mistake. They’re overstretched, I didn’t pay enough attn, glaucoma killed optic nerve, lost sight in my right eye. So, along with AS, AF, left eye treatment, cardiologist, leg fracture and infection from ruptured skin from non healing dog bite I’ve now left my job as couldn’t cope. Look after yourself people!!
Thanks for sharing
My eyes started paining in April 2017!I assumed it was my Psoriatic arthritis??,and it was. I was in a Bad flare. I get tired, fevers,and have low energy. I see my Rheumatologist at the Psoriatic arthritis Clinic at Toronto Western Hospital in Ontario Canada every 3 months. The eye pain is awful, I hope it stays away. There is nothing like it. This psoriatic arthritis is worse than my fibromyalgia,that I was diagnosed with in 1988.We all need people to know,that we truly are not well. Uveitis and Iritis are the eye conditions to watch for.