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SYMPTOMS
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Pain | Blurry vision | Photophobia | Tearing
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SIGNS
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Injection | Cells and/or flare in the anterior chamber | Ciliary flush | Keratic precipitates | Posterior synechiae | Possible hypopyon | IOP can be increased or decreased depending on cause and duration
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WORK-UP
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Thorough history | IOP check | Slit lamp examination | Dilated fundus exam | While most cases of anterior uveitis are idiopathic, targeted work-up (i.e. laboratory testing) may be indicated in recurrent or severe cases to identify a possible etiology
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Topical cycloplegics (homatropine is difficult to obtain): Cyclopentolate 1% tid | Atropine 1% qd
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Topical steroids (dosage depends on severity): Pred Forte 1% q1h-q6h | Durezol up to qid
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Oral immunosuppressive or steroid agents may be indicated in severe cases | Treat the underlying etiology if a cause is determined
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FOLLOW-UP
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Every 1-2 days initially during treatment
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ADDITIONAL LAB | TESTS
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OCT of the macular to assess for macular edema
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ETIOLOGY
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Usually idiopathic | The possible etiology list is extensive (lens-induced, HLA-B27-related, syphilis, herpes, etc.)
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DIFFERENTIAL DX
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Intermediate uveitis | Panuveitis | Trauma | Glaucomatocyclitic crisis | Contact lens-associated red eye (CLARE)
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NOTES
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The uveitis spectrum of conditions is vast and the possible causes are many | Steroids should be tapered appropriately
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