The eye has a limited repertoire of responses when confronted with inflammatory disease1–6 (Table 2.1). Symptoms of acute forms of uveitis include ocular pain, photophobia, lacrimation, and redness. Patients with idiopathic iridocyclitis, herpes zoster, and human leukocyte antigen (HLA)-B27-associated iritis often present in this fashion. Their vision may be good, with only mild blurring or an occasional floater. In contrast, patients with chronic forms of uveitis often have minimal discomfort. They may complain of decreased vision and “floaters.” In some forms of uveitis and particularly in children, patients may be completely asymptomatic, yet have multiple ocular findings. Juvenile rheumatoid arthritis (JRA)-associated iridocyclitis, cytomegalovirus (CMV) retinitis, ocular histoplasmosis, tuberculosis, toxocara, and toxoplasmosis can all be unrecognized by the patient.
KeywordsHerpes Simplex Retinal Pigment Epithelium Herpes Zoster Anterior Chamber Juvenile Rheumatoid Arthritis
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- 1.Hogan MJ, Kimura SJ, Thygeson P. Signs and sumptoms of uveitis. I. Anterior uveitis. Am J Ophthalmol 1959; 46: 155.Google Scholar
- 3.Tessler HH. Classification and sumptoms and signs of uveitis. In: Duane TD, Jaeger EA, eds. Clinical Ophthalmology. New York: Harper & Row, 1987.Google Scholar
- 4.Smith RE, Nozik RA. Uveitis: A Clinical Ap-proach to Diagnosis and Management. 2nd ed. Baltimore: Williams & Wilkins, 1989.Google Scholar
- 5.Nussenblatt RB, Palestine AG. Uveitis: Fundamentals and Clinical Practice. Chicago: Year Book Medical Publishers; 1989.Google Scholar
- 10.Valerio M. Les dangers de la cortisonothéra- pie locale prolongée. Bull Mem Soc Fr Ophthalmol. 1963; 76: 572.Google Scholar
- 12.Mayman CI, Miller D, Tijerina ML. In vitro production of steroid cataract in bovine lens. II. Measurement of sodium-potassium adenosine triphosphatase activity. Acta Ophthalmol. 1979; 57: 1107.Google Scholar