Uveitis, Iritis
Inflammation of the uveal tract (iris, ciliary body, choroid)
Symptoms include decreased visual acuity, eye pain, red eye, true photophobia, floaters
Must check eye pressure as acute angle glaucoma is a mimic!
Treatment: opthamology consult! Will need topical vs. systemic vs. injection of steroids and cyclopedic-mydriatic medications
True photophobia
Light shined into unaffected eye causes pain in the affected eye
Anterior Uveitis: iritis & irocyclitis
Idiopathic, trauma, post-surgical, juvenile idiopathic arthritis, spondylarthropathies, herpesvirus
Intermediate: ciliary body
Idiopathic, multiple sclerosis, sarcoidosis, tuberculosis, syphilis, lyme disease
Posterior: retinitis, choroiditis or optic disk
Idiopathic, toxoplasmosis, CMV, sarcoidosis, syphilis, tuberculosis
Ciliary flush
Conjunctival hyperemia adjacent to cornea.
Keratitic precipitates
Use a narrow beam and swing the illumination arm off to the side as the keratic precipitates are on the internal epithelium of the cornea (farthest from light source).
Posterior Synechiae
Adhesion of iris and lens, pay close attention to margin of pupil. Use slit lamp for close up of anterior segment and see irregular pupil shape.
Hypopyon in severe cases
Layering of WBC in anterior chamber