Uveitis
Also known as: Iritis, Intraocular inflammation
Uveitis is inflammation of the uvea, the middle layer of the eye that includes the iris, ciliary body, and choroid. It can cause eye pain, redness, blurred vision, and sensitivity to light. Uveitis can result from infections, autoimmune diseases, or trauma, and requires prompt treatment to prevent vision-threatening complications such as glaucoma, cataracts, or retinal damage.
Symptoms
Causes
- Autoimmune conditions such as ankylosing spondylitis, sarcoidosis, or lupus
- Infections including herpes virus, tuberculosis, or toxoplasmosis
- Eye injury or trauma
- Idiopathic with no identifiable cause in many cases
Risk Factors
- Autoimmune or inflammatory diseases
- History of eye surgery or injury
- Infections that can spread to the eye
- Smoking
- Certain genetic markers such as HLA-B27
Diagnosis
- Comprehensive eye examination with slit-lamp biomicroscopy
- Measurement of intraocular pressure
- Blood tests for autoimmune markers and infectious causes
- Imaging such as OCT or fluorescein angiography
- Chest X-ray to check for sarcoidosis or tuberculosis
Treatment
- Corticosteroid eye drops to reduce inflammation
- Cycloplegic drops to relieve pain and prevent adhesions
- Systemic corticosteroids for severe or posterior uveitis
- Immunosuppressive medications for chronic or recurrent cases
- Biologic agents for refractory disease
- Treatment of underlying infectious or autoimmune cause
Prevention
- No general prevention, but managing underlying conditions reduces flare risk
- Regular eye exams for those with autoimmune conditions
- Prompt treatment of eye infections or injuries
When to See a Doctor
- Sudden eye redness with pain and blurred vision
- Sensitivity to light with vision changes
- Recurrent episodes of eye inflammation
- Any sudden decrease in vision
Frequently Asked Questions
Related Conditions
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