Acute anterior uveitis

Question 1

What is the presentation of anterior uveitis (Iritis)?

Answer 1

Triad:

• Redness
• Pain
• Photophobia

Extra

• Can have blurred vision
• Floaters
• Constricted pupil
• Adhesions between iris and lens (Synechiae = pupil looks odd shaped)
• Pus in anterior chamber (Hypopyon)

Question 2

What is uveitis? What types?

Answer 2

*Inflammation of the uveal tract
>Can get separate inflammation of each component
*Anterior, intermediate and posterior

Question 3

What is anterior uveitis?

Answer 3

Inflammation of the iris

Question 4

What is intermediate uveitis?

Answer 4

Inflammation of the ciliary body

Question 5

What is posterior uveitis?

Answer 5

Inflammation of choroid

Question 6

What is the treatment of iritis / anterior uveitis?

Answer 6

1. Reduce inflamamation
   > Dexamethasone 0.1%
   > Can accelerate glaucoma
2. Dilate pupil to prevent posterior synechiae
   > Cyclopentate 1%
3. If IOP raised
   >Topical beta blockers
4. Ophthalmology referral