Merck Manual

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Posttraumatic Iridocyclitis

(Traumatic Anterior Uveitis; Traumatic Iritis)

By

Ann P. Murchison

, MD, MPH, Wills Eye Hospital

Medically Reviewed May 2022 | Modified Sep 2022
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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 Slit-lamp examination The eye can be examined with routine equipment, including a standard ophthalmoscope; thorough examination requires special equipment and evaluation by an ophthalmologist. History includes location... read more , which typically reveals flare (due to an increase in protein content of the aqueous humor from the inflammatory exudate) and white blood cells in the anterior chamber.

Treatment of posttraumatic iridocyclitis involves a cycloplegic (usually scopolamine 0.25% 3 times a day or homatropine 5% 3 times a day) and topical corticosteroids (eg, prednisolone acetate 1% 4 to 8 times a day).

Drugs Mentioned In This Article

Drug Name Select Trade
Isopto Hyoscine, Maldemar, Scopace, Transderm Scop
AK-Pred, AsmalPred, Econopred, Econopred Plus, Flo-Pred, Hydeltrasol, Inflamase Forte, Inflamase Mild, Millipred , Millipred DP, Millipred DP 12-Day, Millipred DP 6 Day, Ocu-Pred , Ocu-Pred A, Ocu-Pred Forte, Omnipred, Orapred, Orapred ODT, Pediapred, Pred Mild, Predalone, Pred-Forte, Prednoral, Pred-Phosphate , Prelone, Veripred-20
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