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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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.