IU School of Optometry Continuing Education
Anterior Uveitis in the Primary Care Setting

Etiology and Signs

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Anterior uveitis (AU) is idiopathic much of the time.

Etiologies
  • Idiopathic = 31.4%
  • Seronegative spondyloarthropathies = 21.6%
  • Juvenile rheumatoid arthritis = 10.8%
  • Herpetic = 9.7%
  • HLA-B27 associated AU = 6.4%
  • Sarcoidosis = 5.8%
  • Fuchs' heterochromic iridocyclitis = 5.0%
  • Lupus = 3.3%
  • Lens-induced persistent uveitis = 1.2%
  • Rheumatoid arthritis = 0.9%
  • Glaucomatocyclitic crisis =0.9%

These stats were published in a study done in 1996 by the Massachusetts Eye and Ear Infirmary. Researchers looked at more than 1200 people over the course of 10 years. This table lists the most common conditions found to be associated with AU in their patient population, which was predominantly Caucasian and mostly from the Northeast.


Signs of Anterior Uveitis

Circumlimbal flush

Keratic percipitates

Posterior synechiae
Photos courtesy of Brad Sutton, OD, IU School of Optometry



Flare in anterior chamber

Photo courtesy of IU School of Optometry

Differential Diagnosis of Cells in the Anterior Chamber
  • White blood cells
  • Red blood cells (microhyphema): Use red free filter (if cells disappear then they are rbc's)
  • Pigment cells--brown
  • Tumor cells
  • Spillover from vitreous


Go to: Anterior Uveitis CE table of contents


URL: http://www.opt.indiana.edu/ce/antuve/etiosign.htm
Revised: June 12, 2009
IU Optometry home page: http://www.opt.indiana.edu/
Comments (content): Dr. Julie Torbit at jtorbit@indiana.edu
Comments: Web Administrator
Copyright © 2009, The Trustees of Indiana University