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Uveitis

Shailendra K. Saxena, MD, PhD, Mikayla L. Spangler, PharmD and Laura K. Klug, PharmD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • A nonspecific term used to describe any intraocular inflammatory disorder

  • Symptoms vary depending on depth of involvement and associated conditions.

  • The uvea is the middle layer of the...

DIAGNOSIS

HISTORY

  • Decreased visual acuity

  • Pain, photophobia, blurring of vision (1)[C]

    • Usually acute

  • Anterior uveitis (~80% of patients with uveitis) (1)[C]

    • Generally acute in onset

    • Deep eye pain

    • Photophobia...

TREATMENT

GENERAL MEASURES

  • Outpatient care with urgent ophthalmologic consultation

  • Medical therapy is best initiated following full ophthalmologic evaluation.

  • Treatment of underlying cause, if identified

  • ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Complete history and physical to evaluate for associated systemic disease

  • Ophthalmologic follow-up as recommended by consultant

PATIENT EDUCATION

  • I...

REFERENCES

1
American Optometric Association. Optometric clinical practice guideline: care of the patient with anterior uveitis. https://www.aoa.org/documents/optometrists/CPG-7.pdf. Accessed November ...

ADDITIONAL READING

  • Majumder PD, Biswas J. Pediatric uveitis: an update. Oman J Ophthalmol.  2013;6(3):140–150. [View Abstract on OvidMedline]

  • Pan J, Kapur M, McCallum R. Noninfectious immune-media...

CODES

ICD10

  • H20.9 Unspecified iridocyclitis

  • H30.90 Unspecified chorioretinal inflammation, unspecified eye

  • H20.019 Primary iridocyclitis, unspecified eye

  • H20.039 Secondary infectious iridocyclitis, unspec...

CLINICAL PEARLS

  • Symptoms vary depending on depth of involvement and associated conditions but should be suspected when eye pain is associated with visual changes.

  • Severe or unresponsive uveitis may req...

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