Uveitis

Background

1. Uveitis = inflammation of iris, ciliary body, and/or choroid
   1. Anterior uveitis
      1. Inflammation of iris and/or ciliary body
      2. Types:
         1. Iritis
         2. Iridocyclitis
   2. Posterior uveitis = choroiditis

Clinical Manifestations

1. Anterior uveitis
   1. Pain
   2. Redness (primarily noted at the limbus)
   3. Constricted pupil
2. Posterior uveitis
   1. Reduced visual acuity
   2. Floaters

Diagnosis

1. Cell & flare
2. Hypopyon
3. Photophobia
4. CXR (uveitis often associated with sarcoidosis, TB)

Treatment

1. Infectious
   1. Treat the underlying infection
2. Noninfectious
   1. Steroid
      1. Prednisolone 1%
   2. Cycloplegic
      1. Relieves pain and prevents formation of posterior synechiae
      2. Scopolamine 0.25% OR cyclopentolate 1%
3. Ophtho consult within 24 hours

See Also

Eye Algorithm (Main)