Current approach in diagnosis and management of anterior uveitis

Abstract

Uveitis is composed of a diverse group of disease entities, which in total has been estimated to cause approximately 10% of blindness. Uveitis is broadly classified into anterior, intermediate, posterior and panuveitis based on the anatomical involvement of the eye. Anterior uveitis is, however, the commonest form of uveitis with varying incidences reported in worldwide literature. Anterior uveitis can be very benign to present with but often can lead to severe morbidity if not treated appropriately. The present article will assist ophthalmologists in accurately diagnosing anterior uveitis, improving the quality of care rendered to patients with anterior uveitis, minimizing the adverse effects of anterior uveitis, developing a decision-making strategy for management of patients at risk of permanent visual loss from anterior uveitis, informing and educating patients and other healthcare practitioners about the visual complications, risk factors, and treatment options associated with anterior uveitis.

Figure 1

Slit-lamp photograph showing large old keratic precipitates

Figure 2

High magnification slit-beam photograph 3×1 mm in size in dark room showing presence of cells and flare

Figure 3

Koeppe Nodules - Nodules present at the papillary margin

Figure 4

Bussaca Nodules - Nodules present on the iris surface

Figure 5

Fibrinous membrane in the anterior chamber between cornea and iris

Figure 6

Pupillary membrane with hypopyon

Figure 7

Gonioscopy showing fibrillar deposit in angle

Figure 8

Oral ulceration seen in Behcet's disease (painful ulcers as against painless ulceration seen in Reiter's syndrome)

Figure 9

Skin lesions seen in psoriasis

Figure 10

Joint deformity seen in rheumatoid arthritis