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Anterior uveitis

Anterior uveitis is inflammation of the
  • Iris alone (=iritis) or
  • Anterior part of ciliary body (=anterior cyclitis) or
  • Iris and anterior part of ciliary body (=iridocyclitis) 

Presentation:
  • Red eye 
  • Pain 
  • Photophobia 
  • Blurred vision 
  • Lacrimation 
  • Miosis 

Recurrent cases of anterior uveitis may cause adhesions, resulting in an irregular pupil.

Investigation:
  • Slit lamp
    • Cells in anterior chamber 
    • Keratic precipitates on corneal endothelium (white in acute cases, yellow in chronic) Koeppe/Busacca nodues on iris 
    • ? hypopyon (= pus in anterior chamber) 
  • Talbot’s test 
    • Pain increases on getting patient’s eyes to converge due to constriction of pupil. Good specificity, poorer sensitivity. 

Anterior uveitis is associated with 

Treatment
  • Refer to ophthalmologist 
  • They will treat with steroids 

Possible complications 
  • Cataract 
  • Glaucoma 

References: 
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Abdelghafour

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