gms | German Medical Science

Cystoid macular oedema is one of the most important reasons of reduced visual acuity in uveitis patients. This guideline describes the use of intravitreal treatment modalities of macular oedema following uveitis including data published in Medline before 30.11.2010. Following subjects has to be considered in the treatment of macular oedema. At first the underlying disease and the intraocular inflammation has to be treated. Is macular oedema persisting following this treatment further medication is necessary. Following a trial with Acetozolamid or extraocular injection of steroids intravitreal treatment should be initiated. With intraviteal injections of Bevacizumab, Ranibizumab, Dexamethason or Triamcinolon visual acuity can be improved. Most data exists for the treatment with Triamcinolon and Bevacizumab. In comparison to steroids VEGF-Inhibitors do not have side effects like glaucoma or cataract and therefore they are the treatment of choice for intravitreal therapy of macular oedema in uveitis patients.