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
- HLA B27 (Ankylosing spondylitis, IBD, Reiter’s syndrome, Psoriatic arthritis)
- Behcet’s disease
- Herpes
- Lyme disease
- Sarcoidosis
- Syphilis
- TB
Treatment
- Refer to ophthalmologist
- They will treat with steroids
Possible complications
- Cataract
- Glaucoma
References:
