The goal of this study is to examine the efficacy of 1gram/day intravenous pulses of methylprednisolone on 3 consecutive days in Behcet's patients with ocular involvement. A total of 34 Behcet's patients referring to Behcet's clinic in Shariati hospital whose problem was confirmed with new international criteria of Behcet's disease (ICBD) will be randomly assigned into one of the two equal groups of intervention or control. Behcet's patients are those with ocular involvement who were under the same cytotoxic treatment with cyclophosphamide and azathioprine. For the patients in the intervention group, intravenous infusion of 1000 mg methylprednisolone in 100cc D/w 5% or 100cc D/w5% on 3 consecutive days will be added to treatment diet. Then treatment will begin with oral prednisolone, 0.5 mg/kg. After that, all the patients were followed up with no other therapeutic intervention by study group. The patients will be visited every 2 months by an ophthalmologist and study group for 6 months in 3 settings. To estimate the ocular inflammation of patients, we use visual acuity, retinal and ocular posterior chamber inflammation index.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
34
intravenous infusion of 1000 mg methylprednisolone in 100cc D/w 5% on 3 consecutive days at beginning of treatment
intravenous infusion of 100cc D/w 5% on 3 consecutive days at beginning of treatment
Rheumatology Research Center, Tehran University of Medical Science
Tehran, Iran
RECRUITINGOCULAR IBDDAM INDEX
Iranian Behcet's disease Dynamic Activity measurement
Time frame: 14 months
VISUAL ACUITY
Check visual acuity with snellen chart by ophthalmologist
Time frame: 14
Inflammation in retin
Check inflammation in retin by ophthalmologist
Time frame: 14
Inflammation in posterior chamber
Check inflammation in posterior uvea by ophthalmologist
Time frame: 14
inflammation in anterior chamber
check inflammation in anterior chamber by ophthalmologist
Time frame: 14
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