Clinical Cases in Uveitis

Juvenile Idiopathic Arthritis (JIA)

History of Present Illness “My rheumatologist asked me to have an eye examination.” A 6-year-old girl with a recent diagnosis of juvenile idiopathic arthritis (JIA) is referred to an ophthalmologist for a routine eye examination. The child has no complaints,…

Herpetic Keratitis and Iritis

History of Present Illness (HPI) A 39-year-old man with no significant past medical history complains of 2 days of tearing, light sensitivity, and blurry vision in his left eye (OS). It started first with some foreign body sensation and has…

Hypopyon Uveitis

History of Present Illness (HPI) A 52-year-old woman with no past ocular history is referred to you for anterior uveitis in the left eye (OS). She presented to an outside ophthalmologist 1 week ago with decreased vision and photophobia. Outside…

Chronic Anterior Uveitis

History of Present Illness (HPI) A 46-year-old woman with a history of anterior uveitis in the left eye (OS) associated with HLA-B27 presents to you from an outside ophthalmologist for a second opinion. She had her first episode of iritis…

Cytomegalovirus (CMV) Anterior Uveitis

History of Present Illness (HPI) A 58-year-old man with no significant past medical history presents for follow-up of anterior uveitis in the left eye (OS). He has been seen multiple times by outside ophthalmologists and has been on topical steroids…

Keratouveitis Secondary to Retained Lens Fragments

History of Present Illness (HPI) A 67-year-old man presents 3 months after uncomplicated cataract extraction/intraocular lens implant (CE/IOL) right eye (OD) complaining of decreased vision and mild photophobia in the right eye. It has been progressive over the last 5…

First Episode of Acute Iritis

History of Present Illness (HPI) A 32-year-old man with no past ocular or medical history complains of 3 days of light sensitivity and redness in his left eye. He woke up with the symptoms and thought that maybe he had…

Approach to Therapy

Introduction The goal of uveitis therapy is to suppress intraocular inflammation to zero or minimal activity and then maintain quiescence. In other words, excellent, enduring control is the goal. If we can achieve this, then patients are spared the multiple…

Approach to Diagnostic Testing

Introduction Patients are often preoccupied with the “cause” of their affliction. Although this is understandable, the etiology of a given uveitis syndrome is often elusive, and about half of cases are labeled idiopathic or undifferentiated. In contrast, for the clinician,…