Uveitis
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ICD10 CODE: H20
Inflammation of the uvea of the eye. It is classified as either anterior (involves iris and ciliary body) or posterior (involves choroid which is the posterior part of the uvea).
Cause
- Systemic diseases (TB, HIV, lymphoma, autoimmune disease, leprosy, toxoplasmosis)
- Cytomegalovirus (CMV)
- Post-trauma
- Idiopathic
Clinical features
- Anterior uveitis: Involves the iris and ciliary body, pain, photophobia, ciliary infection, poor vision, small and irregular pupil, cells and flare in the anterior chamber, and keratic precipitates
- Posterior uveitis: Involves choroid, poor vision, cells in the vitreous
Investigations
- Investigation of uveitis is broad and requires a high index of suspicion
- Diagnosis of uveitis requires expertise and can only be confirmed by slit lamp examinations
Management
Treatment | LOC |
If at HC2 and HC3
Anterior uveitis
|
HC2 HC4 RR
|
Posterior uveitis
|
Prevention
- Wear protective goggles when hammering, sawing, chopping, grinding
- Warn children playing with sticks about risk of eye injuries