UVEITIS
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A normal human eye consists of 3 layers from which the middle layer is called the Uvea. And, Uveitis is the inflammation of any portion of the uvea. Uvea is one of the complex structures in the eye, and it is often classified by the part of uvea that is inflamed.

Iritis or anterior uveitis affects the front part of the eye and around the eye’s iris. Anterior uveitis is very common that makes up two-thirds of all uveitis. Iritis usually very acute uveitis and can be identified from its symptoms like light sensitivity, redness and pain in the middle part of the eye.

Anterior Uveitis is swelling in the ciliary body, the vitreous, and the front end of the retina. While Iritis, being the most common type of uveitis, covers almost two-third or 40-70% of it, intermediate uveitis makes up only 7-15% of cases, resulting in the least and rarest one. The other terms of uveitis are pars planitis, vitritis, or cyclitis.

More about Uveitis
  • It is the middle layer of the eyeball.
  • Solely responsible for taking care of the eye.
  • Carries blood vessels, nerves, pigment cells, and immune cells.
  • It extends from the front part of the eye to different parts.
  • The anterior part is often termed iritis, as it affects the area around the iris of the eye.
  • In the middle, is the posterior part of the ciliary body, and is called pars planitis
  • And, posteriorly, it is named the choroid.
Symptoms of Uveitis

Symptoms of uveitis depend on the location or the part of the eye, which is having some complications. Symptoms of anterior uveitis are painful red eye with a mild, blurring of vision. In intermediate and posterior uveitis, the symptoms are not the same as an anterior one.

Problems affecting the portion of the eye

Being one of the most common diseases that affect Uvea, it occurs due to an infection from a virus or bacteria. It can be a secondary condition that develops due to some other illness like rheumatoid arthritis, tuberculosis or syphilis and is called systemic Uveitis.

When should someone consult the eye doctor?

Some of the common symptoms of Uveitis are eye pain, severe sensitivity to light, redness, blurry vision, and floaters. When a person feels some of these symptoms, that is the perfect time to visit a doctor, immediately.

Examination of the exact cause

Once you visit a doctor, he/she may perform a series of tests on your eyes like eye pressure, visual clarity, and even dilate your eyes to check its inner health. If the tests reveal you have uveitis, more tests are prescribed to identify the root cause of this disease. The doctor may ask to share your medical history. Tests like X-Ray to check for tuberculosis and blood work would be done to identify other conditions

Uveitis and its treatment

If the infection has happened only to the Uvea, simple treatment like eye drops, antibiotics, or corticosteroids would be given. In our hospital, there are well-experienced doctors available to treat Uveal diseases. The patient is given the best treatment, and utmost care is practiced to prevent the disease from spreading and safeguard his/her vision.

Questions FAQ
Frequently Asked Questions Most frequent questions and answers about UVEITIS
  • 01 WHAT CAUSES UVEITIS?

    Our eye consists of 3 layers, and uveitis is infectious aetiologies of one of the parts of the uvea. Many cases of it are idiopathic in origin, and a patient dealing with this disease should be counseled immediately.

  • 02 WHAT IS THE ACE LEVEL?

    A rise in the ACE level is relatively nonspecific. The patient who would deal with sarcoidosis, chest x-ray comes 90% positive in such cases. And, if high suspicion for sarcoid exists and the chest x-ray comes normal, a stiff rise in both the ACE level and lysozyme level results more specific for sarcoidosis.

  • 03 WHAT ARE THE LABORATORY TESTS DONE?

    The laboratory tests such as a chest x-ray, QG or PPD, FTA-ABS (syphilis, RPR can come negative in up to one-third of cases of tertiary syphilis), lyme disease, CBC and a CMP. In case of anterior uveitis, the doctor always suggests you to perform HLA-B27. Cases of intermediate uveitis benefits from MRI if the tests result of system is suggestive of multiple sclerosis. Cases of posterior uveitis with chorioretinal spots may benefit from HLA-A29.

  • 04WHAT SHOULD BE DONE TO DECREASE INFLAMMATION?

    There are several cases of uveitis that would benefit a patient suffering from it. Doctors prescribe prednisolone acetate to decrease inflammation. For effective control of inflammation, a patient requires a longer taper of topical drops or oral medication.

  • 05WHAT IS THE USAGE LIMIT TO PREDNISOLONE ACETATE?

    According to the patient’s feedback and doctor’s research, usage of prednisolone acetate of patients suffering from juvenile idiopathic or rheumatoid arthritis has an acceptable safety profile at a dosage limit of thrice a day. If a patient requires four times a day or more to maintain dormancy, He/she should consult an ophthalmologist at an immediate basis.

  • 06 WHAT ARE THE TREATMENTS AVAILABLE FOR A PATIENT WITH INTERMEDIATE UVEITIS BUT 20/20 VISION?

    Intermediate uveitis is often bilateral but not associated with macular edema (ME). Patients with ME can be monitored with clinical examination and OCT. In this case, patients will typically require oral medications. If there is no ME, patients can be watched without therapy. In the absence of this coexistent infectious cause, prednisone is usually the first therapy that is given to every patient.

  • 07WHAT IS THE SAFEST WAY TO REMOVE A CATARACT, IF THE PATIENT IS ALSO DIAGNOSED WITH UVEITIS?

    Patients dealing with a history of inflammation, a full 3 months, or 1 quarter quiescence is essential before elective surgery. Prednisone is also found beneficial for patients to control the inflammation associated with intraocular surgery.

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