How to manage eye infection in rheumatoid arthritis?

Question

Hello doctor,

I am suffering from an eye infection (rheumatoid arthritis). My HLA b27 report is positive. What medicines should I take, Is it curable? If it is permanent what preventions I can take? Please help.

Answer 1

Hello,

Welcome to icliniq.com.

Rheumatoid arthritis has a dry eye as an association which leads to frequent infections (Sjogren syndrome). There are two lines of treatment which includes controlling ocular dryness and inflammation an controlling systemic inflammation. For ocular dryness, a combination of tear substitutes, low-potency steroids, and Cyclosporine are of great help. Certain types of contact lenses are water-retaining lenses (mini scleral or Boston type). These are used in advanced dryness. Antibiotics are prescribed if required. Consult an ophthalmologist who will assess the extent of your disease and recommend one or more drugs. Rheumatoid arthritis may not be cured but it can be suppressed by systemic medications and you will have to consult a rheumatologist for the same. I hope I have cleared all your doubts. Thank you.