anterior uveitis

Question 1

what

Answer 1

inflammation anterior part uvea

Question 2

uvea

Answer 2

iris
ciliary body
choroid (layer between retina and sclera)

Question 3

pathophysiology

Answer 3

anterior chamber becomes infiltrated with neutrophils, lymphocytes, macrophages

usually autoimmune

Question 4

inflammatory cells in anterior chamber cause….

Answer 4

floaters in patient’s vision

Question 5

chronic anterior uveitis

Answer 5

more granulomatous (more macrophages)

less severe and longer duration of symptoms (>3mo )

Question 6

Acute anterior uveitis is assoc with

Answer 6

HLA B27 conditions

• ankylosing spondylitis
• IBD
• reactive arthritis

Question 7

chronic anterior uveitis is assoc with

Answer 7

sarcoidosis
syphilis 
lyme disease
TB 
herpes

Question 8

typical presentation

Answer 8

unilateral symptoms starting spontaneously with no Hx trauma

may occur with flare of assoc disease e.g. reactive arthritis

Question 9

features

Answer 9

painful red eye 
ciliary flush 
reduced visual acuity 
floaters
miosis 
photophobia 
excess lacrimation 
hypopyon

Question 10

ciliary flush

Answer 10

ring of red spreading from cornea outwards

Question 11

hypopyon

Answer 11

collection WBC in anterior chamber

seen as yellowish fluid in from of lower iris

Question 12

Mx

Answer 12

same day opthalmology review

steroids
antimuscarinic medications
immunosuppressants: DMARDs, TNF inhibitors
laser therapy, cryotherapy, surgery