Uveitis (includes Iritis, Cyclitis, Retinitis, Choroiditis)
Background
- Inflammation of the uvea or other ocular components, often associated with autoimmune conditions or less commonly infections.
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Anterior Uveitis |
Intermediate Uveitis |
Posterior Uveitis |
Panuveitis |
|---|---|---|---|---|
| Practical synonyms | Iritis | Pars planitis, Cyclitis | Retinitis, Choroiditis, Chorioretinitis | Diffuse uveitis |
| Definition | Inflammation localized to the anterior segment | Inflammation localized to the vitreous cavity and pars plana | Inflammation localized to choroid and retina | Inflammation involving the anterior, intermediate, and posterior structures |
| Symptoms | Vision loss; Usually painful; Perilimbal redness | Vision loss; Pain varies | Vision loss; Pain varies | Vision loss; Pain varies |
| Common etiologies | Idiopathic HLA-B27 IBD, psoriatic arthritis, ankylosing spondylitis, reactive arthritis | Spillover from anterior uveitis Multiple sclerosis Lymphoma Sarcoid Syphilis TB |
Immunocompromise d (HIV, transplant) CMV, HSV, VZV Vasculitis Sarcoidosis Toxoplasmosis Syphilis TB |
Lymphoma Behcet’s disease Sarcoid Syphilis TB Toxoplasmosis |
Management
- Suspected uveitis: consult ophthalmology
- If associated with systemic conditions above (e.g., IBD) but no visual symptoms, refer to outpatient Ophthalmology for routine screening (does not need Inpatient consult)