UVEITIS

Question 1

History & Physical

Answer 1

Pain
Red eye
Photophobia
Decreased visual acuity
Watery discharge
Perilimbal flush
Pupils constricted, poorly reactive
Consensual pain (pain in affected eye when light is shone in the non affected eye)

Slit Lamp:
WBCs in anterior chamber
Flare
Hypopyon

IOP may be low due to decreased AH production

Question 2

Management

Answer 2

Consult opthalmology with f/u in 24-48 hrs

Topical Steroid at the
direction of ophthalmologist

Prednisolone acetate 1% administer 1 drop in the affected eye every hour OR
Dexamethasone 0.1% administer drop in the affected eye every hour

Voltaren Opthalmologic Solution
1 drop qid

Cyclogyl (Cyclopentolate) 1%
1 drop tid

Question 3

Associated Autoimmune Diseases

Answer 3

JRA
AS
UC
Reiter’s
Behcet’s
Sarcoidosis

Question 4

Associated Infectious Diseases

Answer 4

Herpes Simplex
Varicella Zoster
Lyme
Adenovirus
TB
Toxoplasmosis
Syphilis
Malignancy

Question 5

Associated Malignancies

Answer 5

Leukemia
Lymphoma
Melanoma

Question 6

Associated Trauma

Answer 6

Corneal foreign body
Blunt Trauma
Ultraviolet Keratitis