Anterior Uveitis Flashcards
What does anterior uveitis mean?
Essentially inflammation inside the eye
- inflammation of the iris and ciliary body
What is the classification of Uveitis?
- Anterior
- Intermediate
- Posterior
- Panuveitis
How is acute anterior uveitis defined?
- onset over hours to days
- most commonly defined arbitrarily by a clinical course of less than 12 weeks
- episodic and recurrent
- unilateral or bilateral
What are symptoms of acute anterior uveitis?
- redness
- pain
- blurred vision
- photophobia
What are symptoms of chronic anterior uveitis?
blurred vision
What is acute anterior uveitis?
- inflammation of iris and ciliary body
- often episodic and recurrent
- up to 50% idiopathic
- about 60% associated with HLA B27
What are the differential diagnosis HLA B27 positive acute anterior uveitis?
- without systemic disease
- ankylosing spondylitis
- reiter’s syndrome
- inflammatory bowel disease
- Psoriasis
What are the differential diagnosis for HLA B27 negative acute anterior uveitis?
- systemic disease
- local eye disease/ocular syndrome
- idiopathic
What is Ankylosing spondylitis?
long term condition in which the spine and other areas of the body become inflamed
What are the symptoms of Ankylosing spondylitis?
back pain and stiffness and this usually gets better with exercise
What is reactive arthritis?
triggered by bacterial infection (sexually transmitted or foodborne illness)
- more likely with people with an HLA-B27 gone
What are micro-organisms have been associated with the HLA B27 disease?
- chlamydia
- salmonella
- shigella
- yersinia
- streptococci
What is juvenile idiopathic arthritis?
It’s associated with chronic anterior uveitis
- causes white eye
- band keratopathy is frequent
What is juvenile HLA B27?
acute recurrent uveitis red eye
- may have hypopyon - yellow puddle
What is Fuch’s Heterochromic Cyclitis?
occur with chronic anterior uveitis
- asymptomatic
- acute PVD
- floaters
- reduced vision & cataract
- elevated IOP
- white eye
