Synopsis
Recognise inflammation of the iris and anterior uveal tract, arrange prompt ophthalmic confirmation, and understand supervised treatment, targeted investigation and surveillance for visual complications.
- Anterior uveitis involves inflammation at the front of the uveal tract, commonly producing aching pain, photophobia, redness and blurred vision.
- Slit-lamp evidence of anterior chamber cells and flare supports the diagnosis and allows activity to be monitored.
- Ciliary injection and a small or irregular pupil are useful clues, but their absence does not exclude inflammation.
Key red flags
New visual reduction, severe pain, a hypopyon or rapidly progressive redness requires same-day emergency assessment.
Investigation priorities
Confirm anterior inflammation and document its effect on function.
Management branches
Pain, photophobia, ciliary redness or visual disturbance raises concern for anterior uveitis.
- Document acuity and relevant history, including contact lenses, ocular procedures, prior uveitis and any systemic illness.
- Arrange ophthalmic assessment urgently, generally within 24 hours, with immediate escalation for severe findings or possible infection.
Key medicines
Prednisolone acetate 1% eye drops, Pred ForteThe adult SmPC describes one to two drops into the affected eye two to four times daily; during the initial 24 to 48 hours this may be increased to two drops hourly. Ophthalmology individualises intensity, duration and taper to the examined inflammatory activity.
Cyclopentolate 1% eye drops, MinimsFor adult uveitis and posterior synechiae, the SmPC describes one to two drops every six to eight hours, with strength adjusted to clinical response. Ophthalmology determines the treatment period and review.