Uveitis is inflammation inside the eye affecting the uveal tract (iris, ciliary body and choroid) and can affect adjacent tissues (vitreous, retina, retinal blood vessels and optic nerve).
Types of Uveitis
Uveitis can affect the front (anterior), middle (intermediate), back (posterior) or entire eye (panuveitis). The cause of uveitis is broadly split between non-infective and infective causes and may occur in isolation or in association with other medical conditions. The cause of inflammation is unknown in a significant proportion of patients and attributed to abnormal immune system behaviour (called ‘autoimmune disease’).
Uveitis may present acutely and some patients have repeated attacks of inflammation. A significant proportion of patients develop long-term inflammation with risk of permanent vision loss.
Complications of uveitis
Uveitis can cause complications such as cataract, raised eye pressure, glaucoma (pressure damage to the optic nerve) and retinal swelling (macular oedema) with a risk of permanent vision loss. Cataract surgery in uveitis requires very careful management and may be more complex than standard cataract surgery.
Treatment of Uveitis
There are many different treatments for uveitis. Laura is an expert in treating all forms of uveitis with medical and surgical therapies including topical and oral steroid therapy, immunosuppression and biologic therapies alongside injection therapies into the eye. She is responsible for cataract surgery for patients with uveitis in Manchester Royal Eye Hospital.
- Injections for the treatment of uveitis: steroid injections and anti-VEGF therapies
- Laser to lens capsule (‘capsulotomy’) to improve vision after cataract surgery
- Cataract surgery for uveitis including complex cases
- Retinal laser
Cataract is a clouding of the natural lens and can cause blurred reading, distance and driving vision.
Cataract is very common and a natural age-related change. Cataracts can also develop secondary to inflammation, steroid exposure, diabetes and previous eye surgery or trauma. During cataract surgery, the lens is removed through a very small opening in the eye and replaced with an artificial, plastic lens implant.
General ophthalmology care in adults including management of common eye conditions such as conjunctivitis, blepharitis, chalazion, cataract, raised pressure, dry eye, epislceritis, scleritis and retinal diseases.
The following sites may be of interest and can be accessed by following the external links.
Laura is always happy to provide detailed and specific information on your condition and necessary treatment and direct to relevant resources.
- Royal College of Ophthalmologists - https://www.rcophth.ac.uk/
- Olivia Vision - http://www.oliviasvision.org
A UK uveitis charity providing support and information for people with all types of uveitis.
- Birdshot Uveitis Society - https://birdshot.org.uk
A UK charity providing support and information for people with the rare autoimmune condition called Birdshot Chorioretinopathy uveitis. www.birdshot.org.uk
- RNIB - https://www.rnib.org.uk/
Royal National Institute of Blind People is a leading UK charity offering information, support and advice to people who have a vision problem.
- International Uveitis Society Study Group (IUSG) - https://www.iusg.net
The IUSG comprises clinicians and researchers who are committed to stimulate, encourage, and intensify a concerted effort in research and clinical management of uveitis.