Uveitis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
History
Obtaining a complete history is an important aspect of making a diagnosis of uveitis. It provides insight into cause, precipitating factors, and associated underlying conditions. The presence of intermittent or persistent symptoms of uveitis unilaterally or bilaterally in addition to any of the following, is suggestive of the respective common etiology:
- Ankylosing spondylitis
- Sarcoid uveitis
- Juvenile idiopathic arthritis
- TINU syndrome
- 'Inflammatory bowel disease
- Behcet's disease
- CMV retinitis
- Toxoplasmosis
- Tuberculosis
- Syphilis
- Herpes simplex
- Isolated uveal diseases (e.g., birdshot chorioretinopathy, Fuch's heterochromic uveitis ,acute posterior multifocal placoid pigment epitheliopathy, multifocal choroiditis and panuveitis, Vogt-Konyanagi-Harada syndrome)
Symptoms
Uveitis can present unilaterally or bilaterally. Symptoms may develop acutely or indolently, and may vary depending on the underlying etiology of the uveitis. Acute uveitis attacks are more commonly symptomatic and affect the anterior chamber. Chronic, indolent courses may not present with pain or eye redness.
Common symptoms of uveitis, according to anatomic location, include:
- Anterior uveitis
- Photophobia
- Eye pain
- Eye redness
- Intermediate and Posterior Uveitis
- Panuveitis