Anterior Uveitis: Teaching Case Reports

Len V. Hua, PhD, OD, FAAO
Lorne B Yudcovitch, OD, MS, FAAO


Abstract

Acute anterior uveitis (AAU) is the most common form of intraocular inflammation seen by eye care professionals that affects relatively younger patients, with significant distress and potentially long-lasting sight-threatening complications. The diagnosis of AAU is relatively simple for clinicians because of multiple presenting signs and symptoms; however, the etiology is often much more difficult to elucidate. Therefore, it is critical for interns and practicing clinicians to have an extensive understanding of the pathogenesis of AAU. Judicious yet effective dosage of topical corticosteroid and cycloplegic agents are the mainstay of AAU treatment. Depending on the presentation and cause, other medications, lab tests and tertiary procedures may be necessary. Finally, coordination with other specialists (i.e., ophthalmologists, rheumatologists) may be critical in diagnosis and treatment. Eye care providers play a key role in the interdisciplinary management of the patient with AAU.

Key Words: Anterior uveitis, iritis, iridocyclitis, cells and flare, HLA-B27, corticosteroids, cycloplegics


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