Prof. DR. Dr.

Rukiah Syawal, SpM (K)

Department Ophthalmology
Faculty of Medicine
Hasanuddin University
Makasssar
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UVEITIS
UVA

: Grape
Iris

UVEA

: Vascular Layer

Ciliary Body
Choroid

UVEITIS

: Infection, inflammation,traumatic
neoplastic, autoimmune.
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1 Levator palpebrae superioris m.

2 Superior rectus m.
3 Sclera
4 Choroid
5 Vorticose v.
6 Retina

7 Dura mater
8 Optic nerve
9 Central retinal v. and a.
10 Optic disc
11 Vitreous body
12 Inferior oblique m.

13 Lateral rectus m.
14 Ciliary muscle
15 Ciliary process
16 Lens
17 Anterior chamber
18 Pupil

19 Iris
20 Cornea
21 Superior tarsus
22 Conjunctiva
Page
23 Tarsal gland
24 Orbicularis oculi m.

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SYMPTOMS Of UVEITIS
Redness
Pain
Photophobia
Floaters
Visual disturbances

TRIAD

Inflamatory cells in Anterior Chamber

Keratic presipitates
Cataract
Vitreous debries
Macular edema

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SIGN OF UVEITIS
Unilateral, bilateral
Isolated attack or repeated
Autoimmune usually bilateral
Infection or unknown
unilateral
Granulomatous, Nongranulomatous
Acute, chronic

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SIGN Of UVEITIS
a. Anterior Segment
Pericorneal injection
Cornea : KPs

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SIGN OF UVEITIS
a. Anterior Segment (cont)
Anterior Chamber : Fibrin, pigment cell
Iris : miosis, nodule, granule, synechia,
heterochromic
Ciliary body, trabecular meshwork IOP

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SIGN Of UVEITIS

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SIGN Of UVEITIS

A. Koeppe nodules, B. Busacca nodules, C. Berlin nodules

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SIGN Of UVEITIS
b. Intermediate Segment
Vitreal inflamatory cells
Snowball opacities (Sarcoidosis)
Exudate over pars plana
Vitreal strands

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SIGN Of UVEITIS
C. Posterior Segment
Retinal or Choroidal Inflamatory
Sheathing of Arteria/Vein
Retinal Detachment
Neovascularisation

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CLASSIFICATION

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aNTERIOR UVEITIS
More common
Red eye (Acute phase)
Iritis, Iridocyclitis, Keratouveitis, Sclerouveitis
Sterile Inflamatory Reaction
Idiopathic
Granulomatous or Nongranulomatous
Recurrence
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Acute anterior uveitis

Acute onset, Nongranulomatous, lasts 2-6 weeks, unilateral.
Clinical presentation
Ocular pain,red eye, photophobia (triad)
Blurred vision
Ciliary injection (perilimbal injection)
White KPs, Corneal edema
Cells, Flare in AC, with or without fibrin exudate, hypopyon
Miosis
IOP may be Elevated
Fibrin exudate across pupil Seclution membrane, Iris bombe

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CHRONIC ANTERIOR
UVEITIS
Lasts > 3 months
Granulomatous and Nongranulomatous
Hyperemia minimal
white
Sarcoidosis, Tuberculosis, Leprosy,
Fuchs heterochromic Iridocyclitis
Juvenile Rheumatoid Artritis

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DD/ Acute Anterior Uveitis

(Inflammatory Red eye)

Differential
Diagnosis

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THERAPY
Medical
1. Topical Cycloplegic
2. Corticosteroid topical systemic
Active inflammation
Prevention Cystoid macular edema
Reduction infl. : retina, choroid and
optic nerve

Surgical
Diagnostic and reparative
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COMPLICATION OF
ANTERIOR UVEITIS
1. Corneal edema, corneal band
keratopathy

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Complication (cont)
2. Complicated cataract

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Complication (cont)
3.
4.

5.

Edema of the disc and macula

Secondary Glaucoma
Debris blockage
Synechia anterior, synechia posterior
Rubeosis iridis
Retinal Detachment

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