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Uveitis: a sight-threatening disease which can impact all systems.

Authors
  • Krishna, Unnat1
  • Ajanaku, Deji1
  • Denniston, Alastair K1, 2, 3, 4
  • Gkika, Theodora1
  • 1 Department of Ophthalmology, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
  • 2 Centre for Rare Diseases, Institute of Translational Medicine, Birmingham Health Partners, Birmingham, UK.
  • 3 Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
  • 4 NIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, UK.
Type
Published Article
Journal
Postgraduate Medical Journal
Publisher
BMJ
Publication Date
Dec 01, 2017
Volume
93
Issue
1106
Pages
766–773
Identifiers
DOI: 10.1136/postgradmedj-2017-134891
PMID: 28942431
Source
Medline
Keywords
License
Unknown

Abstract

Uveitis describes a group of conditions characterised by intraocular inflammation. The term uveitis technically describes inflammation of the uvea which comprises the iris, ciliary body and choroid, however now encompasses inflammation of adjacent intraocular structures such as the retina, vitreous and optic nerve. Uveitis is a significant cause of blindness worldwide, but its impact is generally underappreciated due to a lack of awareness and understanding of the condition among the public and most non-ophthalmic healthcare professionals. In this review, we provide an introduction to uveitis for the non-specialist, outlining the clinical presentations that should raise the suspicion of the disease, the signs that should be looked for and a framework in which to understand the condition. We show how a logical approach to classifying uveitis by aetiology and anatomical focus of disease provides the basis for treatment strategies (drug and route of administration) and clinical presentation and prognosis. We also show why understanding uveitis is helpful to clinicians working in almost every speciality due to the wide-ranging associations with systemic disease.

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