Review Article

Systemic Treatments for Noninfectious Vitreous Inflammation

Table 3

Categories of vitritis drugs and what diseases they are indicated for.

DrugIndications

Antimetabolites
MethotrexateNoninfectiouschronic uveitis, ocular inflammation, ocular sarcoidosis
AzathioprineChronic uveitis, Behcet’s, choroidal neovascularization, ocular cicatricial pemphigoid, retinal vasculitis, serpiginous choroiditis
Mycophenolate mofetilChronic uveitis, noninfectious ocular inflammation, refractory uveitis, scleritis
LeflunomideSarcoidosis

Alkylating agents
CyclophosphamideRefractory uveitis, nonnfectious ocular inflammation, ANCA-associated vasculitides
ChlorambucilSerpiginous choroiditis, refractory uveitis, Behcet’s

T-cell inhibitors/calcineurin inhibitors
CyclosporineSerpiginous choroidopathy, Behcet’s, scleritis, rheumatoid arthritis, nonnfectious uveitis
TacrolimusThe above indications but usually in conjunction with systemic corticosteroids or adjunct immunosuppressants
Rapamycin

Biologic agents
EtanerceptJuvenile idiopathic arthritis, noninfectious uveitis, ocular inflammatory disease
InfliximabRefractory uveitis, childhood uveitis, Behcet’s
AdalimumabRefractory uveitis, ankylosing spondylitis, juvenile idiopathic arthritis
DaclizumabJuvenile idiopathic arthritis, recalcitrant ocular inflammation, birdshot chorioretinopathy
RituximabPrimary Sjogren’s syndrome, thyroid eye disease, Wegener’s granulomatosis
TocilizumabSevere refractory posterior uveitis
GevokizumabBehcet’s

Other
InterferonsBehcet’s, noninfectious uveitis
AnakinraBehcet’s, refractory juvenile idiopathic disease