1. IDIOPATHIC SPECIFIC UVEITIS SYNDROMES
1. Fuchs uveitis syndrome
2. Intermediate uveitis
3. Juvenile chronic iridocyclitis
4. Acute anterior uveitis in young adults
5. Sympathetic ophthalmitis

2. Signs of Fuchs uveitis syndrome
Unilateral, chronic anterior uveitis
Resistant to therapy
No posterior synechiae
KP - small and scattered
throughout endothelium
Diffuse iris stromal atrophy
Feathery fibrin filaments
Occasionally iris nodules
Iris retroillumination
Heterochromia iridis -
affected eye is usually
hypochromic

3. Complications of Fuchs uveitis syndrome
Cataract
Angle new vessels
Glaucoma
Uncommon but control
may be difficult
Very common and
frequently
presenting feature
May bleed during
surgery

4. Intermediate uveitis Typically affects children and young adults
Insidious and chronic
Frequently bilateral but asymmetrical
Usually presents with floaters
Vitritis
Vitreous snowballs
Mild peripheral
periphlebitis
Snowbanking in pars
planitis

5. Intermediate uveitis Cystoid macular oedema Treatment
Posterior sub-Tenon steroids if poor VA

6. Juvenile chronic iridocyclitis
Majority are girls
Initially no systemic disease
Minority subsequently develop arthritis
Progression of complications
Posterior synechiae
Band keratopathy
Cataract

7. Acute anterior uveitis in young adults
Majority are men
45% are positive for HLA-B27
Initially no systemic disease
Minority subsequently develop ankylosing spondylitis
Fibrinous exudate
Residual pigment on lens

8. Sympathetic ophthalmitis
Typically follows penetrating
trauma
Bilateral granulomatous panuveitis
Granulomatous anterior uveitis
Multifocal choroiditis