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August 22, 2026Expert Opinion on Pharmacotherapy

Updated ocular pharmacology for noninfectious uveitis: a comprehensive expert review

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Authors

MSMatthew D SpanglerNKNila KirupaharanJSJohn D. Sheppard

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Overview

Narrative review outlines evolving targeted pharmacotherapies for noninfectious uveitis, highlighting a clinical shift from corticosteroids toward steroid-sparing immunomodulatory strategies.

Key Points

  • Synthesize recent advances in pharmacotherapy for noninfectious uveitis to establish a treat-by-target framework that minimizes corticosteroid-associated ocular toxicity.
  • Conducted a narrative review analyzing developments in topical corticosteroids and intravitreal corticosteroid implants, including evidence from the Multicenter Uveitis Steroid Treatment (MUST) trials.
  • Evaluated clinical literature on steroid-sparing options, such as conventional immunomodulatory therapy, biologic agents, repository corticotropin injection, and emerging small molecules.
  • The MUST trials demonstrated equivalent visual outcomes between systemic therapy and intraocular steroid implants, while identifying significant ocular complications linked to sustained local corticosteroid exposure.
  • Therapeutic paradigms are shifting toward precision pharmacology and targeted immunomodulatory agents aligned with specific anatomical and pathophysiological disease features.
  • Novel sustained-release delivery systems and earlier biologic intervention are expanding the ability to control intraocular inflammation without reliance on long-term steroids.

Cite This Study

Spangler et al. (2026) studied this question.

synapsesocial.com/papers/6a895eeeca7ade938187d2c5https://doi.org/10.1080/14656566.2026.2715704
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