Iritis: Difference between revisions

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Latest revision as of 21:30, 10 January 2020

Template:DiseaseDisorder infobox

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Iritis is a form of anterior uveitis and refers to the inflammation of the iris of the eye.

Types

There are two main types of iritis: acute and chronic. Acute iritis is a type of iritis that can heal independently within a few weeks. If treatment is provided, acute iritis improves quickly. Chronic iritis can exist for months or years before recovery occurs. Chronic iritis does not respond to treatment as well as acute iritis does. Chronic iritis is also accompanied by a higher risk of serious visual impairment.

Signs and symptoms

Ocular and periorbital pain
Photophobia
Consensual photophobia (pain in affected eye when light is shone in unaffected eye)
Blurred or cloudy vision
Reddened eye, especially adjacent to the iris
White blood cells (leukocytes) (resulting in a grey or near-white haze) and protein (resulting in tiny white dots) in the anterior chamber, often called "cells and flare."
Synechia or adhesion of iris to lens or cornea

Causes

Life Threatening Causes

Common Causes

Causes by Organ System

Cardiovascular	Autoimmune retinal vasculitis, Ocular ischemic syndrome
Chemical/Poisoning	Box jellyfish poisoning
Dental	No underlying causes
Dermatologic	Behçet's disease, Chronic psoriasis, Dermatostomatitis, Lepromatous leprosy, Psoriatic arthritis, Stevens-johnson syndrome
Drug Side Effect	Etidronate, Fomivirsen sodium, Meclofenamate, Medrysone, Pembrolizumab, Rifabutin, Tetracaine, Trametinib, Vemurafenib
Ear Nose Throat	No underlying causes
Endocrine	No underlying causes
Environmental	Foreign body
Gastroenterologic	Crohn's disease, Inflammatory bowel disease, Ulcerative colitis, Ulcerative proctosigmoiditis
Genetic	Alezzandrini syndrome, Blau syndrome, Hla-b27 disorder, Phosgene oxime
Hematologic	Granulomatosis with polyangiitis, Wegener's granulomatosis
Iatrogenic	No underlying causes
Infectious Disease	Cat scratch fever, Dabrafenib, Euphorbiaceae , Herpes simplex, Herpes zoster, Htlv-1, Lepromatous leprosy, Leptospirosis, Lyme disease, Malaria, Mycobacterium tuberculosis, Onchocerciasis, Secondary syphilis, Syphilis, Toxocariasis, Toxoplasmosis, Tuberculosis, Ulcerative proctosigmoiditis , Weil's syndrome
Musculoskeletal/Orthopedic	Ankylosing spondylitis, Connective tissue diseases, Polychondritis
Neurologic	Charlin's syndrome, Heerfordt-waldenstroem syndrome, Multiple sclerosis
Nutritional/Metabolic	No underlying causes
Obstetric/Gynecologic	No underlying causes
Oncologic	No underlying causes
Ophthalmologic	Autoimmune retinal vasculitis, Birdshot retinochoroidopathy, Charlin's syndrome, Fuchs' heterochromic cyclitis, Incontinentia pigmenti, Ocular ischemic syndrome, Pars planitis, Sympathetic ophthalmitis, Vogt-koyanagi-harada syndrome
Overdose/Toxicity	No underlying causes
Psychiatric	No underlying causes
Pulmonary	Sarcoidosis, Tuberculosis
Renal/Electrolyte	No underlying causes
Rheumatology/Immunology/Allergy	Ankylosing spondylitis, Behçet's disease, Birdshot retinochoroidopathy, Blau syndrome, Chronic psoriasis, Granulomatosis with polyangiitis, Heerfordt-waldenstroem syndrome, Juvenile chronic arthritis, Juvenile rheumatoid arthritis , Psoriatic arthritis, Reactive arthritis, Reiter's disease, Rheumatoid arthritis, Rheumatoid disease, Sarcoidosis, Scleroderma, Still's disease, Systemic lupus erythematosus, Vogt-koyanagi-harada syndrome, Wegener's granulomatosis
Sexual	Secondary syphilis, Syphilis
Trauma	Blunt trauma
Urologic	No underlying causes
Miscellaneous	No underlying causes

Causes in Alphabetical Order

Complications

Complications of iritis may include the following: Cataract, glaucoma, corneal calcification, posterior uveitis, blindness, band keratopathy, and cystoid macular oedema.

Treatment

Steroid anti-inflammatory eye drops (such as prednisolone acetate)
Dilating eye drops (to help prevent synechia and reduce photophobia)
Pressure-reducing eye drops (such as brimonidine tartrate)
Oral steroids (such as prednisone)
Subconjunctival steroid injections
Steroid-sparing agents such as methotrexate (for prolonged, chronic iritis)

External links

de:Iritis it:Irite fi:Värikalvontulehdus

Template:WH Template:WS

@@ Line 1: / Line 1: @@
 {{DiseaseDisorder infobox |
-  Name        = Iritis |
    Image       = Iritis.jpg |
    Caption     = A case of ''Iritis'' of the right eye |
-  ICD10       = {{ICD10|H|20|0|h|15}} |
-  ICD9        = {{ICD9|364.0}} |
 }}
-{{Search infobox}}
+{{SI}}
-{{CMG}}
+{{CMG}} {{AE}} {{LRO}}
 ==Overview==
@@ Line 57: / Line 52: @@
 {|style="width:80%; height:100px" border="1"
 |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular'''
-|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
+|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Autoimmune retinal vasculitis]],  [[Ocular ischemic syndrome]]
 |-
 |bgcolor="LightSteelBlue"| '''Chemical/Poisoning'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Box jellyfish poisoning ]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 68: / Line 63: @@
 |-bgcolor="LightSteelBlue"
 | '''Dermatologic'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Behçet's disease]],  [[Chronic psoriasis]],  [[Dermatostomatitis]],  [[Lepromatous leprosy]],  [[Psoriatic arthritis]],  [[Stevens-johnson syndrome]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Drug Side Effect'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Etidronate]],  [[Fomivirsen sodium]],  [[Meclofenamate]],  [[Medrysone]],  [[Pembrolizumab]],  [[Rifabutin]],  [[Tetracaine]],  [[Trametinib]],  [[Vemurafenib]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 84: / Line 79: @@
 |-bgcolor="LightSteelBlue"
 | '''Environmental'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Foreign body]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Gastroenterologic'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Crohn's disease]],  [[Inflammatory bowel disease]],  [[Ulcerative colitis]],  [[Ulcerative proctosigmoiditis ]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Genetic'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Alezzandrini syndrome]],  [[Blau syndrome]],  [[Hla-b27 disorder]],  [[Phosgene oxime ]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Hematologic'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Granulomatosis with polyangiitis]],  [[Wegener's granulomatosis]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 104: / Line 99: @@
 |-bgcolor="LightSteelBlue"
 | '''Infectious Disease'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Cat scratch fever]],  [[Dabrafenib]],  [[Euphorbiaceae ]],  [[Herpes simplex]],  [[Herpes zoster]],  [[Htlv-1]],  [[Lepromatous leprosy]],  [[Leptospirosis]],  [[Lyme disease]],  [[Malaria]],  [[Mycobacterium tuberculosis]],  [[Onchocerciasis]],  [[Secondary syphilis]],  [[Syphilis]],  [[Toxocariasis]],  [[Toxoplasmosis]],  [[Tuberculosis]],  [[Ulcerative proctosigmoiditis ]],  [[Weil's syndrome]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Musculoskeletal/Orthopedic'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Ankylosing spondylitis]],  [[Connective tissue diseases]],  [[Polychondritis]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Neurologic'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Charlin's syndrome]],  [[Heerfordt-waldenstroem syndrome]],  [[Multiple sclerosis]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 128: / Line 123: @@
 |-bgcolor="LightSteelBlue"
 | '''Ophthalmologic'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Autoimmune retinal vasculitis]],  [[Birdshot retinochoroidopathy]],  [[Charlin's syndrome]],  [[Fuchs' heterochromic cyclitis]],  [[Incontinentia pigmenti]],  [[Ocular ischemic syndrome]],  [[Pars planitis]],  [[Sympathetic ophthalmitis]],  [[Vogt-koyanagi-harada syndrome]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 140: / Line 135: @@
 |-bgcolor="LightSteelBlue"
 | '''Pulmonary'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Sarcoidosis]],  [[Tuberculosis]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 148: / Line 143: @@
 |-bgcolor="LightSteelBlue"
 | '''Rheumatology/Immunology/Allergy'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Ankylosing spondylitis]],  [[Behçet's disease]],  [[Birdshot retinochoroidopathy]],  [[Blau syndrome]],  [[Chronic psoriasis]],  [[Granulomatosis with polyangiitis]],  [[Heerfordt-waldenstroem syndrome]],  [[Juvenile chronic arthritis]],  [[Juvenile rheumatoid arthritis ]],  [[Psoriatic arthritis]],  [[Reactive arthritis]],  [[Reiter's disease]],  [[Rheumatoid arthritis]],  [[Rheumatoid disease]],  [[Sarcoidosis]],  [[Scleroderma]],  [[Still's disease]],  [[Systemic lupus erythematosus]],  [[Vogt-koyanagi-harada syndrome]],  [[Wegener's granulomatosis]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Sexual'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Secondary syphilis]],  [[Syphilis]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Trauma'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Blunt trauma]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 169: / Line 164: @@
 ===Causes in Alphabetical Order===
-{{columns-list|3|
+{{columns-list|
 *[[Alezzandrini syndrome]]
 *[[Ankylosing spondylitis]]