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326 N Duke Street
Lancaster, PA 17602
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Uveitis

Uveitis is a general term for an inflammatory response in the eye that can be caused by a broad range of diseases or conditions. It is called uveitis because the area that is inflamed is the uvea, although the condition can also affect other areas in the eye such as the lens, the optic nerve, the retina and the vitreous. Uveitis can cause swelling and tissue damage and lead to reduced vision or in more serious cases, even blindness.

What is the Uvea?

The uvea is a layer in the middle of the eye containing three main elements including: the choroid, which is a network of small blood vessels which provides nutrients to the retina; the iris, which is the colored layer around the pupil; and the ciliary body which produces fluid to shape the lens and provide nutrients to keep it healthy.

Types of Uveitis

Uveitis is classified by four different types, depending on the location of the inflammation within the eye. Anterior uveitis, which is the most common form, is when the iris is inflamed, sometimes in combination with the ciliary body. Intermediate uveitis is inflammation of the ciliary body and posterior uveitis is when the choroid is inflamed. When the entire uvea is inflamed, this is called diffuse or pan-uveitis.

Symptoms of Uveitis

Uveitis generally affects individuals between the ages of 20 and 50 and can present a variety of symptoms depending on the cause. The condition can affect one or both eyes and sometimes the symptoms can come on very rapidly. They include:

  • Blurred vision
  • Eye pain
  • Red eyes
  • Light sensitivity
  • Seeing floaters in the field of view

If you experiences these symptoms seek medical attention immediately. Uveitis is usually a chronic disease which can lead to vision loss as well as other eye problems such as glaucoma, retinal detachment and cataracts.

Causes of Uveitis

The cause of uveitis is still somewhat of a mystery. It is often found in connection with eye injuries, viral infections, toxins or tumors in the eye or with systemic autoimmune disorders (such as AIDS, rheumatoid arthritis or psoriasis), or inflammatory disorders (such as Crohn’s disease, colitis or Multiple Sclerosis).

Treatment for Uveitis

Uveitis treatment is designed to reduce and eliminate inflammation and pain and to prevent damage to the tissues within the eye, as well as to restore and prevent vision loss. The inflammation is typically treated with anti-inflammatory steroid eye drops, pills, dissolving capsules or injections, depending on where the condition presents in the eye. Additional medications or treatments may be prescribed depending on the cause of the condition. For example, when the cause is an autoimmune disease, immunosuppressant medications may also be used. If there is a viral infection or elevated intraocular pressure, appropriate medications will be given to treat those issues. Often uveitis is a chronic disease so it’s important to see the eye doctor any time the symptoms appear.

Dear Patients,

We will be reopening our office Monday, May 18, 2020, and would like to bring you up to date with the many very important physical and procedural changes we have made to our office to assure the highest level of health and safety for our patients and staff during these very challenging times.

We have consulted with our county, state and federal officials, as well as the CDC and other healthcare professionals, to incorporate the recommended and required safety measures throughout our office.

We sincerely apologize for any inconvenience we may have caused by rescheduling or postponing your earlier appointments.

To assure the health and safety of our staff and patients, as well as minimize any exposure, we have instituted the following changes. Please read through this entire document and print a copy so you are familiar with them.

1. Any and ALL appointments and visits will need to be scheduled. This includes the pickup of eyeglasses or trial contact lenses, frame selection, eyeglass repairs, and eyeglass adjustments.

2. Contact lenses will be shipped to all patients at no charge

3. To maintain social distancing and minimize any possible exposure, we have spread out our patient schedule.

4. 24-48 hours before your appointment, one of our staff will be calling to remind you of your appointment and discuss your ocular and medical history. In addition, they will ask you standard COVID19 screening questions and answer any questions regarding your upcoming exam. This will take 5 – 10 minutes but this initial call is important to allow you ample time in our office.

Please look for and answer this call.

5. In order to save time and keep everyone on schedule, any and all medications you are taking should be listed in as much detail as possible on a separate piece of paper, emailed to our secure site: DROXENBERG@COMCAST.NET, or entered on the patient registration form on our website: WWW.DROXENBERG.COM. This needs to be completed prior to your appointment and should include all systemic medications (diabetes, hypertension, etc.) and ocular medications (eye drops, glaucoma medicine, etc.).

6. On the day of your appointment please plan to arrive 15 minutes early and call us at (717) 394-3798 when you arrive. We will return your call when you will be allowed to enter. Entry will be through the front door only unless previously discussed with our staff. Only the person with the appointment will be allowed in the office with the exception of minor children who have the appointment. NOTE: Family members and/or friends will need to wait outside.

7. We will be taking your temperature in the vestibule and anyone with a temperature of 100 degrees or higher or who is sick will be rescheduled. If you feel ill, please reschedule your appointment.

8. All staff will have their temperatures checked 2 times daily for your safety.

9. All staff will wear a facemask while in the office. In addition, all patients must wear a facemask while in the office as mandated by Governor Wolf for all PA businesses. If you do not wear a facemask, one will be provided to you.

10. There are hand sanitizing stations strategically placed throughout the office. Please use them.

11. All frames will be disinfected before and after being handled by patients and staff. Frames will not be returned to the frame display until they are appropriately disinfected.

12. All exam room equipment will be cleaned and disinfected before and after each use according to the CDC guidelines.

13. Cleaning and disinfection of our office have always been a priority and this will continue in earnest.

14. Preferred payment is by credit card or checks at the time of services but cash will be accepted.

15. We have installed a plexiglass barrier on our front desk to comply with the CDC and state guidance.

16. Reception area chairs have been separated to maintain social distancing.

17. Patients who are physically disabled will be allowed entry through the rear door, with prior approval, following a temperature check and COVID19 screening. All other patients must enter through the front door and screening vestibule.

18. Above all else, your safety and health are our top priorities. We take this responsibility very seriously and have implemented these changes in procedures to achieve this.

Dr. Oxenberg has been providing eye care to you and your family since 1990 and expects to continue for many years to come.

If you have any questions and /or concerns, please feel free to email our office at droxenberg@comcast.net or call (717) 394-3798.

We look forward to seeing you all again!

Sincerely,

Dr. Larry Oxenberg