• C. Stephen Foster

The provision of good health care is the goal and raison d’etre of all physicians. Meeting the appropriate standard of care goes a long way towards achieving a good medical outcome. Compliance with the applicable standard of care also goes far toward building rapport and goodwill with one’s patients. Good care and goodwill are laudatory goals in and of themselves. Additionally, the achievement of these goals will stand the physician in good stead in those instances in which poor medical outcomes occur despite appropriate care. Poor medical results can and do occur because of the inexact nature of medicine. Disability and death cannot be avoided and occur without negligence despite the best efforts of physicians exercising their best judgment.

The purpose of this chapter is to discuss ways to implement good care for the management of patients with uveitis and improve and build a meaningful physician–patient relationship. In so doing, brushes with the legal system (whether a claim, a lawsuit, or a Board of Registration in Medicine complaint) may incidentally be avoided.


Juvenile Idiopathic Arthritis Giant Cell Arteritis Juvenile Rheumatoid Arthritis Posterior Uveitis Retinal Vasculitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    D ana MR, Merayo-Lloves J, Schaumberg DA, et al. Visual outcomes prognosticators in juve-nile rheumatoid arthritis associated uveitis. Ophthalmology 1997;104:236-244.PubMedGoogle Scholar
  2. 2.
    Rosenberg KD, Feuer WJ, Davis JL. Ocular complications of pediatric uveitis. Ophthalmology 2004;111:2299-2306.CrossRefPubMedGoogle Scholar
  3. 3.
    Edelsten C, Reddy MA, Stanford MR, Graham EM. Visual loss associated with pediatric uveitis in English primary and referral centers. Am J Ophthalmol 2003;135:676-680.CrossRefPubMedGoogle Scholar
  4. 4.
    Ozdal PC, Vianna RNG, Deschenes J. Visual outcomes of juvenile rheumatoid arthritis associ-ated uveitis in adults. Ocular Immunol Inflamm 2005;13:133-138.CrossRefGoogle Scholar
  5. 5.
    K ump LI, Cervantes RA, Androudi SN, et al. Visual outcomes in children with juvenile idio-pathic arthritis associated uveitis. Ophthalmology 2006;113:1874-1877.CrossRefPubMedGoogle Scholar
  6. 6.
    Zak M, Fledelhius H, Pedersen FK. Ocular complications and visual outcome in juvenile chronic arthritis: a 25 year follow-up study. Acta Ophthalmol Scand 2003;81:211-215.CrossRefPubMedGoogle Scholar
  7. 7.
    J abs D, Rosenbaum JT. Guidelines for the use of immunosuppressive drugs in patients’ ocular inflammatory disorders: recommendations of an expert panel. Am J Ophthalmol 2001;131:679.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • C. Stephen Foster
    • 1
  1. 1.OphthalmologyHarvard Medical SchoolCambridgeUSA

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