Anterior uveitis Flashcards
1
Q
Pathophysiology?
A
Inflammation of the anterior portion of the uvea - iris and ciliary body.
2
Q
Associated with which gene?
A
HLA-B27
3
Q
Symptoms and signs?
A
- acute onset
- ocular discomfort & pain (may increase with use)
- pupil may be irregular and small
- photophobia (often intense)
- blurred vision
- red eye
- lacrimation
- ciliary flush
- hypopyon
- visual acuity initially normal → impaired
4
Q
Associated conditions?
A
- ankylosing spondylitis
- reactive arthritis
- ulcerative colitis
- Crohn’s disease
- Behcet’s disease
- sarcoidosis: bilateral disease may be seen
5
Q
Do you need to refer this?
A
Urgent review by opthalmology
6
Q
Management?
A
- Cycloplegics
- Steroid eye drops
7
Q
Examples of cycloplegics?
A
Atropine, cyclopentolate
8
Q
How do cycloplegics work?
A
Dilates the pupil which helps to relieve pain and photophobia.
9
Q
What is a hypopyon?
A
This describes pus and inflammatory cells in the anterior chamber, often resulting in a visible fluid level
