Uveitis

Background

1. Uveitis = inflammation of iris, ciliary body, and/or choroid
   1. Anterior uveitis
      1. Inflammation of iris and/or ciliary body
      2. Types:
         1. Iritis
         2. Iridocyclitis
   2. Posterior uveitis = choroiditis

Workup

1. Slit=lamp
2. Consider CXR
   1. uveitis often associated with sarcoidosis, TB

Diagnosis

1. Cell & flare
2. Hypopyon
3. Photophobia

By Type

1. Anterior uveitis
   1. Pain
   2. Redness (primarily noted at the limbus)
   3. Constricted pupil
2. Posterior uveitis
   1. Reduced visual acuity
   2. Floaters

Treatment

1. Infectious
   1. Treat the underlying infection
2. Noninfectious
   1. Steroid
      1. Prednisolone 1%
   2. Cycloplegic
      1. Relieves pain and prevents formation of posterior synechiae
      2. Scopolamine 0.25% OR cyclopentolate 1%
3. Ophtho consult within 24 hours

See Also

Eye Algorithm (Main)