this is a tough one. Has he been to a rheumatologist? what has be given systemically? how long has he had scleritis?
typically we treat mild cases of scleritis with oral NSAIDs such as motrin or naprosyn for several weeks, we then move to treating with oral prednisone and if this does not work, off to the rheumatologist they go for systemic treatment with stronger meds used to treat rheumatoid arthritis and other systemic autoimmune disorders. I make sure he is on topical prednisolone and lubricants. If he has not seen the rheumatologist since the scleritis started, he should as this can sometimes lead to the consideration of other diagnoses they did not consider before. Regards
I'm not sure if you got my reply. My brother is now on Lotamax and lubricants. The Uritis is under control but the Scleritis is only about a month old. My brother has been to two rheumatolgists and they are both trying to get this under control. I was hoping you may have seen this before and can shed some light on a possible cure.
lotemax can help the iritis but wont do anyting for the scleritis? has he been on a course of oral medication for the scleritis? if so what
Dr. Stevens. Al has not been on oral meds for the Scleritis. He has to see the Doctor
on Tuesday and he feels that is the next direction he will take him. Any other suggestions before I let you go.
oral meds are the next step, but since he has not been on anything yet, mild medications such as motrin 600mg 3 times a day can be prescribed, there is no need to go directly to steroids right off the bat, Regards XXXXX