Review Article

Systemic Treatment of Vitreous Inflammation

Table 2

Uses of immunosuppressive agents in ophthalmologic conditions.

DrugDiagnosis

Antimetabolites
 MethotrexateChronic non-infectious uveitis, sarcoidosis, and non-infectious ocular inflammation
 AzathioprineChronic uveitis, Behcet’s disease, choroidal neovascularization, OCP, retinal vasculitis, serpiginous choroiditis, and neuroretinitis
 Mycophenolate mofetilChronic uveitis, non-infectious ocular inflammation, intermediate and posterior uveitis, refractory uveitis, and scleritis
 LeflunomideSarcoidosis uveitis

Alkylating agents
 CyclophosphamideRefractory uveitis, peripheral uveitis, Wegener, OCP, scleritis, Behçet’s disease, non-infectious ocular inflammation, and optic neuropathy (SLE)
 ChlorambucilSerpiginous choroiditis, severe chronic uveitis, uveitis, and Behçet’s disease

T-cell inhibitors/calcineurin inhibitors
 CyclosporineSerpiginous choroidopathy, Behçet’s disease, endogenous uveitis, chronic idiopathic uveitis, scleritis, rheumatoid arthritis, and non-infectious uveitis
 TacrolimusRefractory uveitis (limited experience)
 RapamycinRefractory uveitis (limited experience)

Biologic agents
 EtanerceptJuvenile idiopathic arthritis, non-infectious uveitis, and ocular inflammatory disease
 InfliximabRefractory uveitis, childhood uveitis, Behcet’s disease, and refractory uveitis
 AdalimumabRefractory uveitis, ankylosing spondylitis, and juvenile idiopathic arthritis
 DaclizumabJuvenile idiopathic arthritis, recalcitrant ocular inflammation, and birdshot retinochoroidopathy
 RituximabPrimary Sjogren syndrome, thyroid eye disease, and Wegener
 TocilizumabRefractory uveitis (limited experience)

Other
 InterferonsBehcet’s disease, non-infectious uveitis