Acute Anterior Uveitis (AAU)

Question 1

What is AAU?

Answer 1

= inflammation of the uveal tract, iris is affected the most

Question 2

What are the symptoms for AAU?

Answer 2

• Sudden onset of unilateral - pain, photophobia, lacrimation (watery eyes), redness, mild-mod reduced VA

Question 3

What are signs for classic AAU?

Answer 3

• Hyperaemia
• Aqueous cells + flares
• Pupil Miosis
• Low/Hip IOP (due to damage of cilliary body)
• Keratic Percipitates
• Iris bombe

Question 4

What are the signs for recurrent/severe AAU?

Answer 4

• Hypopyon (inflammatory cells in AC)
• Rubesosis Irides (vessel growth in iris due to hypoxia)
• Iris Nodules
• Iridocyclitis

Question 5

What are the three referral for AAU?

Answer 5

If severe pain, raised IOP, reduced vision = EMERGENCY to OP

If Mild-Mod AAU, mild pain, IOP OK = URGENT TO OP

If recurrent acute = Routine to GP

Question 6

What are the management and treatment for AAU?

Answer 6

Topical corticosteroid: to eliminate inflammation

Cyclopentolate: to reliver pain + prevent posterior synachiae (adhesion between of iris and lens)

Prostaglandin: to control IOPs

Systemic Steroid: to treat systemic associations