Reflex uveitis

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Sections available in full article Introduction, Presenting signs, Cost considerations, Pathogenesis, Etiology, Pathophysiology, Diagnosis, Presenting problems, Client history, Clinical signs, Histopathology findings, Differential diagnosis, Treatment, Initial symptomatic treatment, Monitoring, Sequelae, Prognosis, Reasons for treatment failure, Sources, Vetstream contributor(s),
Contributors Dr Dennis E Brooks DVM PhD DipACVO
Dr David L Williams MA VetMB PhD CertVOphthal FRCVS

Introduction

  • Cause : corneal ulcers induce varying degrees of uveitis.
  • Signs : transient usually mild uveitis, but can be prolonged and severe.
  • Treatment : none in most cases.
  • Prognosis : poor to good depending on the inciting cause.

Diagnosis

Clinical signs

  • Miosis.
  • Corneal ulcer.
  • Ocular pain.
  • Aqueous flare.
  • Photophobia.
  • Red eye (ciliary injection).

Diagnosis

Differential diagnosis

  • Corneal ulceration Ulcerative keratitis.

Warning: Reflex uveitis may accompany any of these conditionsWarning
  • Non-ulcerative keratitis Keratitis.

Sequelae

Prognosis

  • Good if ulcer therapy causes resolution of the ulcer.
  • Poor if the stimulus for the uveitis cannot be cured.

Reasons for treatment failure

  • Severe synechiation, glaucoma and/or cataract formation can result from reflex uveitis if it is not properly treated.

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