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Can Psoriatic Arthritis Affect Your Eyes?
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Yes, psoriatic arthritis (PsA) can affect your eyes. Although PsA is primarily known as an inflammatory joint condition, it can also impact various other parts of the body, including the eyes. This is due to the systemic nature of the disease, which is an autoimmune disorder. Autoimmune diseases can cause inflammation in different organs, and the eyes are not exempt from this process.

Uveitis and Iritis

One of the most common eye-related conditions linked to psoriatic arthritis is uveitis, which is inflammation of the uvea, the middle layer of the eye. More specifically, the type of uveitis that people with PsA often experience is anterior uveitis or iritis, which refers to inflammation of the iris (the colored part of the eye) and the front portion of the uvea. Uveitis can cause pain, redness, blurred vision, and light sensitivity. In severe cases, untreated uveitis can lead to vision loss or damage to the eye.

The exact cause of this inflammation is not fully understood, but it is believed to be linked to the immune system mistakenly attacking healthy tissue in the eye, similar to how PsA causes the immune system to attack joints.

Dry Eyes

Another common eye issue related to PsA is dry eyes. This occurs when the body is unable to produce enough tears, or when the quality of the tears is insufficient to lubricate the eyes properly. PsA patients may experience burning, itching, or a gritty sensation in the eyes. Dry eye syndrome can also lead to more serious complications if left untreated, such as eye infections or damage to the cornea.

Conjunctivitis

Conjunctivitis, commonly known as pink eye, can also occur in people with psoriatic arthritis. It involves inflammation of the conjunctiva, the thin layer that covers the white part of the eye. Symptoms of conjunctivitis include redness, itching, discharge, and swelling. While conjunctivitis can be caused by infections, people with PsA may develop it due to the inflammatory processes associated with the disease.

Managing Eye Complications in PsA

If you have psoriatic arthritis and experience any eye problems, it’s crucial to seek medical attention from an eye specialist, such as an ophthalmologist, as soon as possible. Early detection and treatment of eye issues can help prevent serious complications, including permanent damage or vision loss.

The treatment for eye conditions related to PsA may include corticosteroid eye drops to reduce inflammation, artificial tears to manage dry eyes, or immunosuppressive medications to control the underlying autoimmune activity. In some cases, biologic medications used to treat PsA, such as TNF inhibitors, can also help manage inflammation in the eyes.

Preventing Eye Problems

Regular eye check-ups are important for anyone with psoriatic arthritis, even if they aren’t currently experiencing symptoms. Many eye conditions linked to PsA can progress quietly without causing noticeable symptoms until they become more severe. By catching any signs of inflammation early, your doctor can help manage them before they lead to more significant issues.

If you’re living with psoriatic arthritis, it’s important to be aware that the disease can extend beyond the joints, affecting various other systems in the body, including your eyes. Be mindful of any changes in your vision or eye discomfort, and don’t hesitate to consult with a healthcare professional if you experience any unusual symptoms. Proper management of PsA and its complications can greatly improve your quality of life and protect your vision.
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