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Uveitis: Classification, Symptoms, and Treatment

Uveitis refers to inflammation of the uveal tract of the eye. It can be classified anatomically by location as anterior, intermediate, posterior or panuveitis. Clinically it is classified as acute or chronic based on duration. Etiologically, it can be associated with systemic diseases, infections, infestations, or be idiopathic. Anterior uveitis presents with eye pain and redness. Posterior uveitis causes floaters and vision loss. Treatment involves cycloplegics, steroids, immunosuppressants, and treating any underlying cause.

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Mariam Qais
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457 views42 pages

Uveitis: Classification, Symptoms, and Treatment

Uveitis refers to inflammation of the uveal tract of the eye. It can be classified anatomically by location as anterior, intermediate, posterior or panuveitis. Clinically it is classified as acute or chronic based on duration. Etiologically, it can be associated with systemic diseases, infections, infestations, or be idiopathic. Anterior uveitis presents with eye pain and redness. Posterior uveitis causes floaters and vision loss. Treatment involves cycloplegics, steroids, immunosuppressants, and treating any underlying cause.

Uploaded by

Mariam Qais
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd

Uveitis

Objectives

 Define and classify uveitis anatomically, clinically


and etiologically
 Describe the signs and symptoms of different types
of uveitis and identify the differentiating points
 List the complications of different types of uveitis
 List the investigations needed in selected cases of
uveitis
 Describe the treatment of different types of uveitis
Uveitis
 Anatomy of Uveal
tract: (Uvea= Grape)
 1- Iris

 2- Ciliary body

 3- Choroid
Uveitis

 Definition:

 Classification:
 - Anatomical.
 - Clinical.
 - Aetiological.
Uveitis

 Anatomical Classification:

 1- Anterior uveitis
 2- Intermediate uveitis
 3- Posterior uveitis
 4- Panuveitis
Uveitis

 Clinical classification:

 1- Acute uveitis: <3 months


 2- Chronic uveitis: >3 months
Uveitis
 Aetiological classification:
 1- Associated with a systemic
disease, e.g.:
 a- Spondyloarthopathies
 b- Inflammatory bowel disease
 c- Nephritis
 d- Non-infectious multi-system
disease
 e- infectious systemic disease
 f- Diabetes
Oral ulcers
VKH
Uveitis

 Aetiological classification:
 2- Infections:
 a- Bacterial: tuberculosis.
 b- Fungal: Candidiasis.
 c- Viral: Herpes Zoster.
Uveitis

 Aetiological classification:
 3- Infestations:
 a- Protozoa: Toxoplasmosis.
 b- Nematodes: Toxocariasis.
Uveitis

 Aetiological classification:

 4- Idiopathic: 50%
 (most common cause).
Anterior uveitis

 Symptoms:

 1- Acute anterior uveitis:


 2- Chronic anterior uveitis:
Anterior uveitis
 Signs:
1-Circumcorneal
injection:
Anterior uveitis
 Signs:
 2- Keratic
 Precipitates
 KPS
Anterior uveitis
Signs:
3-inflammatory
cells
Anterior uveitis
 Signs:
4- flare and
hypopion
Anterior uveitis

 Hypopyon
Anterior uveitis
 Signs:
Pupillary
miosis
Anterior
Uveitis
 Miosis
Anterior uveitis
 Signs:
IOP
Anterior uveitis
 Signs:
Iris nodules
Complications of anterior
uveitis:
 1- Posterior synechiae:
 2- Cataract.

 3- Glaucoma:

 4- Cyclitic membrane

formation and phthisis bulbi.


Intermediate uveitis

 Symptoms:
 Initially, floaters
 later, decreased visual acuity due
to macular oedema.
 Signs:
 Cellular infiltration of vitreous
(vitritis).
Posterior uveitis

 Symptoms:
 1- Floaters

 2- Impairment of visual acuity


Posterior uveitis

 Signs:
 1- Cells, flare, opacities and

posterior vitreous detachment.


 2- Retinitis:

 3- Vasculitis:
Posterior uveitis
Chorioditis
Retinitis
Retinal vasculitis
Investigations

 X ray
 Skin tests
 Serological
 HLA typing
Treatment:

 1- Cycloplegic and Mydriatics:


 2- Steroids:
 Topical or periocular injection
 Intravitreal injection of steroids
 Systemic steroids
 3- Immunosuppressive agents
 4- underline cause

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