Uveitis Flashcards
1
Q
What are differentials for an acute red eye?
A
- conjunctivitis
- keratitis
- uveitis
- acute glaucoma
2
Q
What is uveitis?
A
- AKA iritis
- intra-ocular inflammation, normally auto-immune
- can be unilateral or bilateral
3
Q
Who gets uveitis?
A
- HLA B27, spondyloarthropathies, inflammatory bowel disease
- ask about joints, rashes, ulcers, bowels
- rarely secondary to systemic infection (TB, syphilis)
4
Q
Uveitis can be chronic or present with recurrent episodes.
What are the clinical features?
A
- (dull orbital) pain → only in anterior uveitis
- decreased vision
- redness (esp around edge of cornea)
- mild watering, but no stickiness
- photophobia
O/E → synechiae (iris adherence to cornea/lens) + keratic precipitates (dots on rear of cornea)
Acute anterior uveitis is the commonest form!
5
Q
It is important to investigate for systemic conditions.
How is uveitis treated?
A
- topical steroid (eg. dexamethasone drops)
- dilating drops (eg. cyclopentolate)
