Eye involvement
Gout patients can also develop various ocular abnormalities. This happens because uric acid crystals form tophi in different parts of the ocular surface. They can have subconjunctival vesicles, ocular hemorrhage, and vascular changes in the eyes.
Gout treatment in response to the symptoms above has three phases. In the initial phase, the most important goal is treating the acute attack. In the second phase, patients should receive prophylaxis to reduce the onset of new acute episodes. In the third phase of the treatment, patients receive treatment to lower urate levels, which also reduces the frequency and severity of the symptoms.
Diet and physical activity modifications are perhaps the most critical changes patients can make by themselves. They should reduce the consumption of high-purine foods such as sardines, mussels, and organ meats. Besides purine restriction, patients are encouraged to avoid alcoholic drinks, sodas, and sweetened drinks. They should stay hydrated adequately with a minimum of 8 glasses of water every day and keep watch on their cholesterol levels. Another helpful change you can make is increasing your activity levels and trying to lose weight if you are overweight or obese. However, keto diets and intermittent fasting are not recommended as weight-loss strategies for gout patients.