Iritis (cont.)

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How is iritis diagnosed?

Diagnosis of iritis is made by the ophthalmologist. It is suspected from the history and symptoms and then is confirmed by an exam. After measuring the vision, the eye is inspected with a slit lamp (biomicroscope) where microscopic cells are seen in the front part of the eye. When measuring the eye pressure, it is often found to be lower than in the other eye.

What is the treatment for iritis?

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First, we try to find a cause. Causes such as trauma, inflammatory eye disease, or an eye infection are often apparent. Treatment is then directed at the underlying cause. In many cases, no cause is detected. There are no natural remedies for iritis.

Specific treatment is usually antiinflammatory cortisone (steroid) eyedrops, often accompanied by drops to enlarge (the pupil). This serves two purposes: (1) it relieves some of the pain (2) the drops keep the pupil dilated to avoid it becoming scarred down and adherent to the focusing lens (behind the pupil) of the eye.

If the drops are not successful, injections of steroids around the eye or steroid (cortisone) pills may be necessary.

How long does iritis last?

Usually, iritis clears in days, but it may last for months or may become chronic and recurrent.

What are complications of iritis?

Blindness is the ultimate but relatively rare complication. Recurrent pain and blurring of vision may occur. If the pupil becomes scarred, it is unable to react, thereby losing some of the ability to adjust to different light conditions.

Glaucoma secondary to iritis may cause pain and result in blindness.


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