Uveitis · Dr. Alan Treviño

Arthritis, lupus and your eyes

Rheumatic diseases can inflame or dry the eye and, through their medicines, affect the retina. Timely eye exams protect your vision.

Reviewed by Dr. Alan Treviño, board-certified ophthalmologist with fellowship training in retina and uveitis · Updated: November 2026

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Evaluations in San Pedro Garza García (Río de la Plata 113, Col. Del Valle), minutes from Monterrey.

Dr. Alan Treviño, ophthalmologist for patients with arthritis and lupus in Monterrey, Mexico

Certificate No. 4209Mexican Board of Ophthalmology

Extensive surgical experienceCataract, retina and vitreous

National System of ResearchersMember of Mexico's SNI

RetinaSubspecialty training in retina and vitreous

UveitisFellowship in ocular inflammation

Premium cataract surgeryPremium intraocular lenses

Personalized careYou are seen directly by Dr. Treviño

Compassionate careTime to listen and answer your questions

Social commitmentCommitted to our community

Outpatient careNo hospital stay

Private health insuranceWe help you with the paperwork

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In short

Rheumatoid arthritis, lupus, juvenile idiopathic arthritis, Sjögren syndrome and other autoimmune diseases can affect the eyes: dry eye, scleritis, uveitis or inflammation of retinal vessels. Medicines such as hydroxychloroquine also need retina checks to detect damage before it affects vision. We work with your rheumatologist: we examine, report and adjust follow-up to your disease and treatment.

Disease by disease

How does each disease affect the eye?

Disease	Most common eye problem	What you may notice
Rheumatoid arthritis	Dry eye, episcleritis and scleritis	Burning, grittiness; deep, severe pain with scleritis
Lupus	Dry eye, retinal vasculitis, choroidopathy	Dryness; blurred vision or spots
Juvenile idiopathic arthritis	Chronic anterior uveitis	Often nothing: it may not hurt or look red
Sjögren syndrome	Severe dry eye	Burning, fluctuating vision, light sensitivity
Spondylitis and HLA-B27	Acute anterior uveitis	Red eye, pain and light sensitivity
Vasculitis (granulomatosis, Behçet and others)	Scleritis, uveitis or retinal vasculitis	Painful red eye or vision loss

Scleritis causes deep pain that can wake you at night. If you have it, get checked soon.

Medications

Hydroxychloroquine screening

Before starting

A baseline retina exam.

Every year

After 5 years of use; sooner if you have risk factors.

Tests

Macular OCT and visual field.

Higher risk

High dose, kidney disease or tamoxifen: more frequent checks.

Hydroxychloroquine damage can appear without symptoms and does not reverse. Detecting it early lets your rheumatologist adjust treatment in time.

Children

Juvenile arthritis: exams even without symptoms

Silent uveitis

Can damage the eye without pain or redness.

Regular exams

Every 3 to 12 months, depending on risk.

Slit lamp

The only way to detect it early.

Coordination

With the pediatric rheumatologist.

FAQ

Questions about rheumatic diseases and the eyes

I have rheumatoid arthritis and a red eye. Is it urgent?

If there is also deep pain or vision loss, yes: it may be scleritis. If there is only burning or grittiness, it is usually dry eye, but it should be checked.

How often should I be checked on hydroxychloroquine?

A baseline exam when starting, then yearly after 5 years of use, or sooner with risk factors.

My child has juvenile arthritis and sees well. Does he or she need exams?

Yes. Uveitis in juvenile arthritis often causes no symptoms. Regular exams are the only way to catch it early.

Can I continue my rheumatology treatment?

Yes. Do not stop any medicine without talking to your rheumatologist; we send them the eye report.

Uveitis: overview

What it is, types and treatment

HLA-B27 uveitis

Spondylitis and arthritis

Ocular toxoplasmosis

Parasitic infection

Vogt-Koyanagi-Harada

Uveitis in both eyes

Dr. Alan Treviño performing an eye exam with a slit lamp

Meet your ophthalmologist

Why Dr. Alan Treviño?

With subspecialty training in both uveitis and retina, Dr. Alan Treviño treats the inflammation and its retinal complications. Consultations are available in English.

Board-certified by the Mexican Board of Ophthalmology (No. 4209).
Fellowship in Medical and Surgical Retina at LV Prasad Eye Institute (India).
Fellowship in Ocular Inflammatory Diseases and Uveitis (APEC, UNAM).
Clinical rotation in Cornea and Retina at Bascom Palmer Eye Institute (University of Miami).
Member of Mexico's National System of Researchers.

Book your consultation See his background

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San Pedro Garza García: Monday to Thursday, 9 am to 6 pm, and Saturday, 9 am to 2 pm.
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San Pedro Garza García

Centro Interamericano de Alta Especialidad en Oftalmología

Río de la Plata 113, Col. Del Valle,

66220 San Pedro Garza García, Nuevo León, Mexico.

Monday to Thursday: 9 am to 6 pm

Saturday: 9 am to 2 pm

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Sabinas Hidalgo

Punto Visión · Porfirio Díaz 507, Downtown,

65200 Sabinas Hidalgo, Nuevo León, Mexico.

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