How long have you had rheumatoid arthritis? Were you diagnsosed as a child?
From you post, correct me if I'm wrong, it seems you have a uveitis? This is either an acute or chronic inflamation inside the eye. Uveitis has a laudry list of diagnoses. Let's try to narrow this down?
1. Is it in both eyes?
2. Has this been going on for years, months or days?
3. Is it painful?
4. Does the inflamation alternate eyes?
5. Are your eye's different colors (ie one blue one brown etc)
6. Any medical history of systemic disease like lupus, sarcoidosis?
7. Any recent eye surgery? trauma?
8. Any preceding symptoms or eye findings like conjuctivitis?
9. Have you travelled to areas that are high risk for tick bites, tb exposure etc?
10. Pets at home.. kittens, dogs?
I assume you are being treated by an eye physician. Do you happen to know if that eye doctor is a eye inflammation specialist? (they are called Uveitis specialist) I know of at least 5 uveitis specialist in L.A.. Most of them are at Jules Stein UCLA and one is in Orange County area. Do you live closer to UCLA or Orange County?
Okay, so a posterior uveitis is probable. However I can't be sure as I'd have to see you in the clinic. Anyway, posterior uveitis (inflammation) is typically due to some identifiable cause. I recommend you schedule an appointment with a Uveitis specialist. If you'd like I can recommend one for you. I thorough eye exam by someone whose specialty is in uveitis will be most useful for you. This chronic inflammation needs to be addressed as it can lead more eye problems and eventually harm your vision more. Would you like for me to find a contact for you?
C. XXXXX XXXXX, M.D.
This is a confidential survey. Please repond to all questions. Patient Name:_________________________________________________________Address: _____________________________________________________________ Telephone Number: _________________________________Referring Physician: ___________________________________________________Address: _____________________________________________________________ Telephone Number: _________________________________FAMILY HISTORY:These questions refer to your grandparents, parents, aunts, uncles, brothers and sisters, children or grandchildren.Has anyone in your family had any of the following? PLEASE ANSWER YES or NO.Cancer Diabetes Allergies Arthritis or rheumatism Syphilis Tuberculosis Sickle cell disease or trait Lyme disease GoutHas anyone in your family had medical problems listed below? PLEASE ANSWER YES or NO.Eyes Skin Kidneys Lungs Stomach or bowel Nervous system or brain SOCIAL HISTORY:Age (Years): ________________ Current job: _______________________________ Have you lived outside the U.S.A.? If yes, where? _______________________________________Have you ever owned a dog? Have you every owned a cat? Have you ever eaten raw meat or uncooked sausage? Have you ever had unpasteurized milk or cheese? Have you ever been exposed to sick animals? Do you drink untreated stream, well or lake water? Do you smoke cigarettes? Have you ever used intravenous drugs? Have you ever had a bisexual or homosexual relationships? Have you ever taken birth control pills? PERSONAL MEDICAL HISTORY:Are you allergic to any medications? If yes, which medications? _______________________________________________Please list the medications that you are currently taking, including non-prescription drugs such as aspirin, Advil, antihistamines, etc.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________PAST MEDICAL HISTORY:Please list all eye operations you have had (including laser surgery), and the dates of the surgeries.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Please list all other operations that you have had and the dates of the surgeries.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Have you ever been told that you have the following conditions? PLEASE ANSWER YES or NO.Anemia (Low Blood Counts) Cancer Diabetes Hepatitis High Blood Pressure Pleurisy Pneumonia Ulcers Herpes (cold sores) Chicken Pox Shingles (Zoster) German Measles (Rubella) Measles (Rubeola) Mumps Chlamydia or Trachoma Syphilis Gonorrhea Any other sexually transmitted disease Tuberculosis (TB) Leprosy Leptospirosis Lyme Disease Histoplasmosis Candida or Moniliasis Coccidiomycosis Sporotrichosis Toxoplasmosis Toxocariasis Cysticercosis Trichinosis Whipple's Disease AIDS Hay Fever Allergies Vasculitis Arthritis Rheumatoid Arthritis Lupus (Systemic Lupus Erythematosus) Scleroderma Have you ever had any of the following illnesses? PLEASE ANSWER YES or NO.Reiter's Syndrome Colitis Crohn's Disease Ulcerative Colitis Behcet's Disease Sarcoidosis Ankylosing spondylitis Erythema Nodosa Temporal Arteritis Multiple Sclerosis Serpiginous Choroidopathy Fuchs' Heterochoromic Ididocyclitis Vogt-Koyanagi-Harada Syndrome Have you had any of the following symptoms in the past year? PLEASE ANSWER YES or NO.GENERAL HEALTH:Chills Fevers (persistent or recurrent) Night Sweats Fatigue (tire easily) Poor Appetite Unexplained Weight Loss Do you Feel Sick HEAD:Frequent or Severe Headaches Fainting Numbness or Tingling in your body Paralysis in parts of your body Seizures or Convulsions EARS:Hard of Hearing or Deafness Ringing or Noises in Your Ears Frequent or Severe Ear Infections Painful or swollen Ear Lobes NOSE AND THROAT:Sores in Your Nose or Mouth Severe or Recurrent Nosebleeds Frequent SneezingSinus Trouble Persistent Hoaresness Tooth or Gum Infections SKIN:Rashes Skin Sores Sunburn Easily (Photosensitivity) White Patches of Skin or Hair Loss of Hair Tick or Insect Bites Painfully Cold Fingers Severe Itching RESPIRATORY:Severe or Frequent Colds Constant Coughing Coughing Up Blood Recent Flu or Viral Infection Wheezing or Asthma Attacks Difficulty Breathing Have you ever had any one of the following symptoms? PLEASE ANSWER YES or NO.CARDIOVASCULAR:Chest Pain Shortness of breath Swelling of your legs BLOOD:Frequent or Easy Bruising Frequent or East Bleeding Have you Received Blood Transfusions GASTROINTESTINAL:Trouble Swallowing Diarrhea Bloody Stools Stomach Ulcers Jaundice or Yellow Skin BONES AND JOINTS:Stiff Joints Painful or Swollen Joints Stiff Lower Back Back Pain while Sleeping or Awakening Muscle Aches GENITOURINARY:Kidney Problems Bladder Trouble Blood in your Urine Urinary Discharge Genital Sores or Ulcers Prostatitis Testicular Pain Are you Pregnant? Do you Plan to be Pregnant in the Future?
Since all the test have been negative for TB, then it's unlikely the right diagnosis. I agree with the eye steroid but question using TB medicines without a more confident diagnosis. I recommend either of these physicians.
Wishing all the best.
I've sent contacts for three physicians, a uveitis inflammation questionnaire for you to fill out prior to seeing them and some comments on the current diagnosis. I hope this helps. I wish I could see you in clinic so I could be more specific. But the diagnosis of eye inflammation is easy. It is the cause that is so difficult to make with out doing blood test such as (ana, rf, ace, lysozyme, lyme titer, vdrl, rpr) and neuroimaging. All these test are based on the evaluation in the clinic.
Take the completed questionnaire to one of the specialist below. They will be able to render an opinion after a complete examination and necessary test.
Wishing all the best. It's been great chatting with you.
It was my pleasure. It is my sincere hope that they can find the cause, and even better improve your visual quality.