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Definition:
Inflammation in the
iris or uvea of the eye.
Signs/Symptoms:
- Pain
- Red eye
- Photophobia
- Reduced vision
- Tearing
- Cells in the aqueous or
anterior chamber of the eye
(viewed under a slit lamp)
Differential Diagnosis:
- Trauma
- Idiopathic
- Corneal abrasion
- Inflammatory diseases
(Reiter’s )
- Medication
- Contact lens
- Retinal detachment
Causes:
Generally in an
operational setting, trauma (blunt, abrasion, contact lens) is the most
common cause
Evaluation:
- History
- Visual acuity
- Examination of the anterior
segment of the eye
Treatment:
- Cycloplegia with scopolamine ¼% or cyclopentolate 1% 4 times a day
- Oral analgesics for pain if
severe enough.
- Reevaluate
patient daily checking visual acuity
Prognosis:
- Generally very good.
- Some iritis can become
chronic over time. If
patient develops additional symptoms during the
operational tour, institute conservative therapy outlined and refer to
ophthalmology on return
This section provided by CAPT Robert B. North, Jr., MC, USN
Approved for public release; Distribution is unlimited.
The listing of any non-Federal product in this CD is not an
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Operational Medicine 2001
Health Care in Military Settings
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Operational
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Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
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