Anterior Uveitis

Question 1

Treatment of anterior uveitis

Answer 1

Urgent assesment and management
Steroids, drops/oral/IV
Cyclopentate/atropine drops

Recurrent anterior uveitis will require DMARDS or anti TNF drugs

Question 2

Pathophysiology of anterior uveitis

Answer 2

Inflammation of anterior chamber of the eye
Causing infiltration of neutrophils, lymphocytes and macrophages

Question 3

What eye condition is associated with autoimmune conditions

Answer 3

Anterior uveitis

Question 4

What autoimmune conditions is anterior uveitis associated with

Answer 4

Seronegative spondyloarthropathies eg ankylosing spondylitis, psoriatic and reactive arthritis

IBD

Sarcoidosis

Behcet disease

Question 5

Signs and symptoms of anterior uveitis

Answer 5

Symptoms:
Pain
Redness
Photophobia
Excessive lacrimation
Photophobia

Signs:
Ciliary flush
Miosis
Abnormal shaped pupil due to adhesions
Hypopyon

Question 6

Causes of anterior uveitis

Answer 6

Inflammation secondary to…
- autoimmunity (most common)
- infection
- trauma
- ischaemia
- malignancy

Question 7

What’s a hypopyon?

Answer 7

Collection of inflammatory cells at the bottom of the anterior chamber