Hi there, I developed PUK, I have Rheumatoid arthritis since 15 years and I am just on Hydroxychloroquine and NSAIDs for my RA. In the last 2 years my dry eye got worse and I reached the end stage what opthalmology can do for me. Since 2years I fighting with my Rheumatologist to change my disease modifying drugs, I reacted badly to methrotraxate, sulfasalazine ect.
My joints aren’t to bad but all the Inflammation is now in my eyes. Anyone here who was put on any biologicals for PUK with rheumatoid arthritis. My future looks quite bleak and I want to fight for my family, my life. I am a emergency veterinary surgeon and have medical background , sadly there are not many studies out there to proof to my rheumatologist to change my disease modifying drugs. Thanks
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Thank you for getting back to me, I am being seen by the cornea team at the eye hospital and forced them now to speak to my Rheumatologist. I will see my Rheumatologist tomorrow and have to fight to get changed onto biological medication as my Hand and foot joints not flaring at the moment. I have sever hip pain, shoulder and wrist pain .But I have to fight for my treatment and this article hopefully helps , many thanks. I am just very frustrated!
So sorry to hear. I am not sure if you see an ocular immunologist, but if not a consult for care is recommended and they could speak to your rheumy about other treatment options. Try this article as well: Maleki, Arash & Valerio, Tate & Massoudi, Yasmin & Ruggeri, Maria & Foster, C. & Anesi, Stephen. (2024). Updates on Systemic Immunomodulation in Peripheral Ulcerative Keratitis. Journal of Clinical & Translational Ophthalmology. 2. 131-139. 10.3390/jcto2040011.