[Medical treatment of severe uveitis]. / Conduite du traitement médical dans certaines uvéites graves.

ABSTRACT

135 patients with chronic uveitis were observed and 23 had therapeutic problems by their severity. The corticoid treatment method, always used in a first time, is studied. When there is corticoresistance, corticodependance or absolute contra-indications, the immunosuppressive drugs are used with reduced doses to avoid an AIDS. The corticoid bolus, the plasma exchange and colchicine are adjuvant treatments. Cyclosporin A brings large hopes but its use is now limited by necessity and serious side effects. Serious uveitis does not answer to a unique therapeutic protocol. The treatment must be adaptable and surgery decided in time.