Anterior Uvetitis

Question 1

What rheumatological condition is associated with Anterior Uveitis

Answer 1

Ankylosing Spondylitis

Question 2

Presentation of Anterior Uvetitis

Answer 2

Anterior uveitis presents with acutely painful red eye, photophobia, small pupil, reduced visual acuity. It is often associated with pus in the anterior chamber (a hypopyon)

acute onset
ocular discomfort & pain (may increase with use)
pupil may be small +/- irregular due to sphincter muscle contraction
photophobia (often intense)
blurred vision
red eye
lacrimation
ciliary flush: a ring of red spreading outwards
hypopyon; describes pus and inflammatory cells in the anterior chamber, often resulting in a visible fluid level
visual acuity initially normal → impaired

Question 3

Anterior uveitis is most likely to be treated with ….

Answer 3

Anterior uveitis is most likely to be treated with a steroid + cycloplegic (mydriatic) drops

Question 4

associating factors of anterior uvetitis

Answer 4

ankylosing spondylitis
reactive arthritis
ulcerative colitis, Crohn’s disease
Behcet’s disease
sarcoidosis: bilateral disease may be seen