Uveitis does not have to be vexing. Here are some basic principles to make it easier for ophthalmologists to identify the disorder.
Reviewed by James Philip Dunn Jr., MD
It may feel like searching for a needle in a haystack when performing a uveitis workup, said James Philip Dunn Jr., MD. However, some guiding principles can make it easier to drill down for causes of uveitis, said Dr. Dunn, Retina Service, and director of the Uveitis Unit, Wills Eye Hospital, Philadelphia.
Three important pearls when considering uveitis are:
- to distinguish infectious from non-infectious uveitis,
- to distinguish disorders that are purely ocular versus uveitis associated with systemic conditions, and
- to obtain additional testing only if it affects management of the disease.
For the latter, this could include medical management, referrals to other physicians, and prognostic implications, Dr. Dunn said. He also encouraged ophthalmologists to distinguish infectious versus non-infectious uveitis and ocular versus systemic disease.
“If you break that down, finding the needle in the haystack is not that intimidating,” he said. “Think first about a proper history, then a careful exam, and then going back and reviewing parts of the history. Finally, there is judicious use of lab testing.”1
1. Jabs DA, Busingye J. Approach to the diagnosis of the uveitides. Am J Ophthalmol. 2013;156:228-236.
2. Jabs DA, et al. Standardization of uveitis nomenclature for reporting clinical data. Results of the First International Workshop. Am J Ophthalmol. 2005;140:509-516.