Uveitis: contrasting the approaches in Japan and the United States

• Published in: Japanese journal of ophthalmology Vol. 63; no. 1; pp. 1 - 6
• Main Author: Rosenbaum, James T.
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01.01.2019; Springer Nature B.V
• Subjects: Corticoids; Corticosteroids; Disease control; Disease Management; Environmental regulations; Forefront Review; Government regulations; Humans; Japan - epidemiology; Medicine; Medicine & Public Health; Morbidity; Ophthalmology; Therapy; Toxic diseases; Toxicity; United States - epidemiology; Uveitis; Uveitis - diagnosis; Uveitis - epidemiology; Uveitis - therapy; Vein & artery diseases; United States; Japan; United States > US; United States; Japan; Biologics; Uveitis; Behcet’s disease
• ISSN: 0021-5155; 1613-2246
• DOI: 10.1007/s10384-018-0633-2

Purpose To compare the approaches to uveitis in Japan and the United States. Methods This report is based on the author’s personal experience, conversations with Japanese colleagues, and a literature search using the database of the US National Library of Medicine. Results The frequencies of specific forms of uveitis vary between the two countries. Options for therapy are affected by government regulations and the impact of insurance carriers. In both countries, there is a stepwise approach to therapy beginning with topical corticosteroids and ultimately advancing to biologics. Despite the differences, the goals for therapy, disease control with minimal toxicity, are the same. Conclusions Genetic, environmental, and regulatory differences impact the approach to uveitis. Despite these factors, the goal for therapy is essentially the same.