Anterior Uveitis Flashcards
What is another term for anterior uveitis?
Iritis
What is anterior uveitis?
It is defined as a condition in which there is inflammation of anterior compartment of the uvea – including the iris and ciliary body
What are the two classifications of anterior uveitis?
Acute Anterior Uveitis
Chronic Anterior Uveitis
What is acute anterior uveitis?
It is is defined as anterior uveitis which persists for a period less than three months
What is chronic anterior uveitis?
It is is defined as anterior uveitis which persists for a period greater than three months
What are the eight risk factors associated with anterior uveitis?
HLA-B27 Positive
Ankylosing Spondylitis
Reactive Arthritis
Inflammatory Bowel Disease
Sarcoidosis
Syphilis
Tuberculosis
Herpes Virus
What are the eleven clinical features of anterior uveitis?
Acute Dull Eye Pain
Eye Erythema
Reduced Visual Acuity
Vision Floaters
Photophobia
Lacrimation
Miosis +/- Irregular Pupil Shape
Ciliary Flush
Ciliary Injection
Hypopyon
Posterior Synechiae
Describe the eye pain associated with anterior uveitis
It is worse upon eye movement
What is ciliary flush?
It is a red ring which spreads from the cornea outwards
What is ciliary injection?
It refers to dilated conjunctival vessels, which are concentrated around the border of the cornea
What is hypopyon?
It is the collection of pus and inflammatory cells in the anterior chamber
This results in white fluid level visible in the anterior chamber
What is posterior synechiae?
It refers to adhesions between the lens and pupil
This distorts the shape of the pupil
What is the most appropriate next step in cases of suspected anterior uveitis?
Urgent referral to ophthalmology
What are the two pharmacological management options of anterior uveitis?
Topical Corticosteroids
Topical Cycloplegics
What is the first line management option of anterior uveitis?
Topical Corticosteroids & Topical Cycloplegics