Anterior uveitis
| one of the causes of acute Red eye | |
|---|---|
| Etiology | HLA-B27 association e.g. Crohn's disease, Ulcerative colitis; also Multiple sclerosis |
| Epidemiology | |
| Clinical presentation | redness, photophobia, tearing, pain (anterior) - onset within hours O/E: synechiae (= misshapen pupil), unreactive pupil, hypopyon - Shining a light into the ‘good’ eye causes pain in the other. Pain ↑ as eyes converge and pupils react to accommodation (Talbot’s test) |
| Pathogenesis | |
| Diagnostic investigations | Exclude corneal abrasion/ulcer, check IOP. Slit lamp: aqueous flare in ant chamber Check HLA-B27 if recurrent. |
| Management | Refer ophthal Treatment may include steroids, cyclopentolate/atropine (paralysis of ciliary body to prevent adhesions between iris and lens) |
sources/links
OHEM