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Posttraumatic Iridocyclitis

(Traumatic Anterior Uveitis; Traumatic Iritis)

By Kathryn Colby, MD, PhD, Louis Block Professor and Chair, Department of Ophthalmology & Visual Science, University of Chicago School of Medicine

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Posttraumatic iridocyclitis is an inflammatory reaction of the uvea and iris, typically developing within 3 days of blunt eye trauma.

Symptoms of posttraumatic iridocyclitis include tearing, throbbing ache and redness of the eye, photophobia, and blurred vision. The pupil may be dilated. Diagnosis is by history, symptoms, and slit-lamp examination, which typically reveals flare (due to an increase in protein content of the aqueous humor from the inflammatory exudate) and WBCs in the anterior chamber. Treatment involves a cycloplegic (usually scopolamine 0.25% tid or homatropine 5% tid). Topical corticosteroids (eg, prednisolone acetate 1% 4 to 8 times/day) are often used to shorten symptom duration.

Drugs Mentioned In This Article

  • Drug Name
    Select Trade
  • ORAPRED, PRELONE
  • TRANSDERM SCOP
  • TUSSIGON