Assessment of Rheumatologists' Perspectives on Uveitis Management: A Cross-Sectional Nationwide Survey

Abstract

Purpose: This study aimed to evaluate the clinical approaches, decision-making processes, and interdisciplinary collaboration patterns of rheumatologists in Turkiye in the context of uveitis management. Methods: A cross-sectional, descriptive study was conducted using a structured 24-item online questionnaire developed based on current literature and expert consensus. A total of 113 rheumatologists from various institutions across Turkiye completed the survey. Participants were divided into two groups based on clinical experience (<= 5 years vs. >5 years). The survey explored topics such as clinical exposure to uveitis, referral practices, diagnostic and treatment approaches, collaboration with ophthalmologists, and perceived need for further education. Results: Rheumatologists with greater clinical experience reported more frequent uveitis cases and were more likely to initiate biological therapy. Immediate referral to ophthalmologists was the predominant approach across both groups; however, communication difficulties were cited as a major barrier to effective interdisciplinary collaboration. Adalimumab emerged as the most commonly prescribed biological agent, particularly in Beh & ccedil;et's disease. Financial barriers, such as the cost of medications and reimbursement issues, were frequently reported as limiting factors. A strong demand for further education on uveitis was noted, especially among early-career rheumatologists, with multidisciplinary meetings and online modules being the most preferred formats. Conclusion: The findings highlight variability in clinical practices and underline the need for enhanced coordination between rheumatologists and ophthalmologists. Addressing communication barriers and implementing standardized treatment protocols, supported by targeted educational initiatives, may improve collaborative care and patient outcomes in uveitis management.