Uveitis differential diagnosis
Uveitis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Uveitis differential diagnosis On the Web |
American Roentgen Ray Society Images of Uveitis differential diagnosis |
Risk calculators and risk factors for Uveitis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
Differential Diagnosis
Uveitis must be differentiated from other diseases that cause conjunctival injection, pain, photophobia, or visual disturbance. Masquerade syndromes, which are ophthalmic disorders that clinically present as either an anterior or posterior uveitis but are not primarily inflammatory, must be differentiated from uveitis. As uveitis manifests in a variety of clinical etiologies, differentiation must also be established in accordance with the particular subtype.
Differentiating Uveitis from Other Diseases
Uveitis must be differentiated from other diseases that cause conjunctival injection, pain, irritation, or visual disturbance.
- Acute Angle-Closure Glaucoma
- Acute Conjunctivitis
- Corneal Ulceration and Ulcerative Keratitis
- Corneal Abrasion
- HSV Keratitis
- Intraocular Foreign Body
- Scleritis
- Endophthalmitis
- Ultraviolet Keratitis
Masquerade syndromes
Masquerade syndromes are ophthalmic disorders that clinically present as either an anterior or posterior uveitis, but are not primarily inflammatory. The following are some of the most common:
- Anterior segment
- Intraocular foreign body
- Juvenile xanthogranuloma
- Leukemia
- Malignant melanoma
- Retinoblastoma
- Retinal detachment
- Posterior segment
- Lymphoma
- Malignant melanoma
- Multiple sclerosis
- Reticulum cell sarcoma
- Retinitis pigmentosa
- Retinoblastoma
Differential Diagnosis of Uveitis Subtypes by Clinical Features
As uveitis manifests in a variety of clinical etiologies, differentiation must also be established in accordance with the particular subtype. Etiologies of acute anterior unilateral infectious uveitis must be differentiated from other subtypes that cause conjuctival injection, pain, and photophobia, such as acute anterior bilateral non-infectious uveitis or chronic anterior uveitis. Diversely, posterior infectious uveitis must be differentiated from other subtypes that cause visual changes, such as intermediate non-infectious uveitis and infectious panuveitis.
Anterior Uveitis
Anterior uveitis can be differentiated according to the following presentation:
- Acute
- Unilateral
- Infectious:
- Non-infectious:
- Bilateral
- Infectious:
- Non-infectious:
- Unilateral
- Chronic:
Intermediate Uveitis
Intermediate may present with unilateral or bilateral involvement. It can be differentiated according to the following etiologies:
- Infectious:
- Non-infectious:
Posterior Uveitis
Posterior uveitis may present with unilateral or bilateral involvement. It can be differentiated according to the following etiologies:
- Infectious:
- Non-infectious:
Panuveitis
Panuveitis may present with unilateral or bilateral involvement. It can be differentiated according to the following etiologies:
- Infectious:
- Non-infectious: