Uveitis

Uveitis

What is uveitis?
Uveitis occurs when the middle layer of the eyeball gets inflamed (red and swollen). This layer, called the uvea, has many blood vessels that nourish the eye. Uveitis can be serious, leading to permanent vision loss. Early diagnosis and treatment are important to prevent complications and preserve your vision.

What is the cause of uveitis?
In about half of all cases, the specific cause of uveitis isn't clear, and the disorder may be considered an autoimmune disease that only affects the eye or eyes.

If a cause can be determined, it may be one of the following:

  • An autoimmune or inflammatory disorder that affects other parts of the body, such as sarcoidosis, ankylosing spondylitis, systemic lupus erythematosus or Crohn's disease
  • An infection, such as cat-scratch disease, herpes zoster, syphilis, toxoplasmosis or tuberculosis
  • Medication side effect
  • Eye injury or surgery
  • Very rarely, a cancer that affects the eye, such as lymphoma
What are the types?
The type of uveitis you have depends on which part of the eye (uvea) is inflamed:
  • Anterior uveitis (iritis / iridocyclitis) - affects the inside of the front of your eye (iris and ciliary body). It is the most common type of uveitis
  • Intermediate uveitis (pars planitis) - Swelling of the uvea in the middle of the eye (pars plana)
  • Posterior uveitis (choroiditis) - affects a layer on the inside of the back of your eye (choroid)
  • In severe cases, all layers may be involved - Panuveitis
What are the symptoms of uveitis?
The following symptoms may occur in one or both eyes:
  • severe redness in the eye
  • pain
  • dark floating spots in your vision (floaters)
  • sensitivity to light (photophobia)
  • blurred vision
How can we diagnose uveitis?
Uveitis is diagnosed clinically by slit lamp biomicroscopy and Indirect ophthalmoscopy If the ophthalmologist thinks an underlying condition may be the cause of your uveitis, you may be referred to another doctor for a general medical examination and laboratory tests.

How can we treat uveitis?
Treatment of cause - If uveitis is caused by an underlying condition. Treatment of eye inflammation - The goal of treatment is to reduce the inflammation in your eye, as well as in other parts of the body, if present. In some cases, treatment may be necessary for months to years.

Medications
  • Corticosteroids - To reduce inflammation. May be in form of eye drops, tablets or injection in or around the eye.
  • Cycloplegics - To reduce pain due to spasm in iris and ciliary body
  • Antibacterials or antivirals - In case of infection
  • Immunosuppressives - If uveitis doesn't respond well to corticosteroids, or patient cannot tolerate steroids due to side effects.
Surgery
  • A medication-releasing implant - For people with difficult-to-treat posterior uveitis, a device that's implanted in the eye may be an option. This device slowly releases corticosteroid into the eye.
  • Vitrectomy - Surgery to remove some of the vitreous in your eye is sometimes needed. The speed of your recovery depends in part on the type of uveitis you have and the severity of your symptoms.
What are the complications?
Cataract
Glaucoma - Raised Intraocular pressure
Cystoid macular edema - Swelling in central part of retina

Synergy Eye Care is well equipped and its doctors are well experienced in treating this disease using required procedures and /or surgeries with good results.


Disclaimer: Information published here is for educational purposes only and is not intended to replace medical advice. If you suspect that you have a health problem, please consult your doctor immediately

Expert Doctors

Dr. Vinay Garodia

Founder Director

MBBS (AIIMS), MD (AIIMS, Gold Medalist) DNB,
MNAMS, FRCS (Eng)

Vitreoretina, Cataract and Refractive