Iritis - What is Anterior Uveitis? Doctor Explains

In this video, Dr. Allen discusses the diagnosis of Anterior Uveitis or sometimes called an Iritis. The video will review signs, symptoms, possible causes and treatments.

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Photo Credits:
Eye Anatomy
Uveitis Cornea
Both from National Eye Institute
#iritis #eyecare #doctoreyehealth

About This Video:
In this video Joseph J. Allen, O.D., F.A.A.O., discusses the diagnosis of uveitis and the specifics of anterior uveitis. If you have ever experienced a red, painful eye that was very sensitive to bright light then check out this video. If you are researching what an iritis is, diseases associated with irits, and it’s treatments, then this is the video for you. In the video you will find a review of some ocular anatomy, clinical signs of inflammation, and how the disease is diagnosed. Doctor Allen then shares how anterior uveitis is usually treated. Among other causes, Iritis can be associated with HLA-B27 (Human Leukocyte Antigen) which may correlate to diseases such as ankylosing spondylitis, reactive arthritis, psoriatic arthritis and inflammatory bowel disease.

[haileykirkman]

i had this and the doctor said if i didn’t see him soon i could’ve lost my vision. so grateful for the doctor but i would never wish this for anyone because it is very painful.

[MarkCarlson_AndoverMN]

I first experienced Iritis about 10 years ago, and had 2-3 flareups since. The first time my GP mis-diagnosed me with conjunctivitis. By day 4 the pain was unbearable and I thought I was going blind. A trip to my ophthalmologist found that I did have Iritis, and it took about 2-3 weeks for it to clear up with topicals. I can now tell when the flareups begin when I start getting an "eyeache" by looking up. Dr. Allen is 100% correct when he says that there are topicals that do work better than others. I prefer Durezol over Lotemax any day of the week... The issue is that my Rx provider will not assist with Durezol so I end up paying out of pocket for it. Sometimes my ophthalmologist will have samples on hand which really helps. Tip - I never travel without a dropper of Durezol with me. It would really be a bummer to be on vaca if a bout hits you.

[allysonyoung]

I have had recurrent uveitus for years and have never had a satisfactory explanation of it. I learnt a lot from this video. Thank you.

[ColleenBeattie-wtiu]

Thank you!I have chronic iritis and I’m humbled today that my clinic triaged me urgently to another clinic, as my ophthalmologist is currently away.

[revans]

Yup. I had a very serious case when I was 17. Required two injections in each eye to treat and 40 years later my doctor still remembered by case.

[alienware]

Hey doctor as a medical student, I really appreciate the content and the informative comment section sharing their case histories, lot helpful during practice.

[timshipman]

Watching this with one eye. First experience - was told not to Google it. Obeying doc's orders - I you tubed it!

[MrChief]

Just diagnosed yesterday at the VA. Left eye hurts like SOB! Have steroid drops and another dilating drops. Still hurts after 24hrs extremely sensitive to lights. Going back to doctor on Friday! Liked your video and its explanations! Thank you because the doctor only me what it was and that’s pretty much it!

[Moonsoul]

I’ve had at least 4-5 or more (i’ve lost count) flare ups of uveitis in the past year. It’s the first time I’ve ever had to turn my attention to eye health in my life. It’s hellish to deal with but I’m partially thankful for it because without it I may have never got a diagnosis for ankylosing spondylitis. My joint pain in my lower back has been ignored for years - by my parents when I was a child and by my primary care physician as a young adult who just felt my joints with her hands and told me it was just loose joints. My first uveitis flare up I thought was pink eye until a visit to urgent care didn’t help at all. I didn’t have healthcare but I was forced to come into a student optometry in tears from the pain and redness. They were the ones who suggested that this was connected to my hip/lower back pain. I did a blood test and tested positive for HLA-B27 and for the first time in my life I have a name for the pain I’ve experienced since middle school. I finally have healthcare and uveitis flare ups are now a regular part of my life. I’m waiting for a full AS diagnosis so I can hopefully find medication to slow down the flare ups, but for the first time I finally feel like I’m on the right path to treating this disease ignored for so long.

[Allanhorns]

Got diagnosed with it yesterday. Right now my vision, so I can't see to type.
Got a follow-up coming in a week. Half to go the full Monte to find out why it's reoccurring.
Yay! Getting old makes for an adventure.

[marthavillanueva]

I started with a style on my lower lid. My MD put me on antibiotic drops and the style got better to a certain point. I went back to see my MD after I finished the antibiotics due to the fact that it hadn’t fully resolve. I tried getting seen by Opthomologist but no one would see me because of all the Covid restrictions. I finally was seen by Opthomologist but it took several visits before she came up with Uveitis. I’ve done 2 rounds of pred forte with taper. I’m hoping that this will finally work. I’m still waiting to see rheumatologist since I have a history of autoimmune disease. Fabulous presentation and explanation about this disease process greatly appreciate it!!!

[ADstoic]

Oh man I've dealt with Iritus since the 6th grade i remember I had a surgery and was in my dark room for 2 weeks during recovery and it happened seriously again when I was 19. Such a informational video

[vederchi]

I have had several episodes (6 or 7) of Anterior Uveitis over the last 15 Yrs. It has been in both eyes but only one eye at a time. A previous ophthalmic doctor treated me with prednisone injections & prednisone drops only. My present ophthalmic doctor is treating me with Durezol drops which I am being weaned off of. She also has me on Methotrexate & Leucovorin once per week. Hopefully, this will be a long term preventive treatment. She is also closely monitoring my blood parameters with routine blood tests. As a note of interest, I am also a colitis patient being treated (so far, successfully) with daily Mesalamine tablets. Both conditions are apparently autoimmune. Doctors don't always have lots of time to explain my eye situation and treatment so I especially appreciate videos like this one. Thank you very much.

[cieskidar]

Experiencing it now as a result of argon laser surgery to repair a torn retina. The trauma of the burning of my retina triggered iritis. I have no vision in my right eye from the combo of healing tear + iritis. I have great doctors on my case. I hate dilation, but now understand why after watching the video. Thanks.

[ellenschumaker]

Your video describes my condition, to a "T"! Everything thing from having my first bout of Uveitis back in May 2008 to the topical treatments to sending me to my primary for blood tests to not being able to figure out what was causing all of my eye issues until August 2014, after a much more extensive blood test panel was done. The answer -- Ankylosing Spondylitis, as you mentioned. Injections are my friend, usually about every 10 to 11 months for me, and yes, in both eyes, but usually at different times. I've been under the care of a rheumatologist and a retinal specialist since January 2009. 4 eye surgeries, a fifth one in the next few months. With all of that said, these doctors ARE my friends, and I don't know what I would do without them!

[SEC]

Thank you for the very informative video. After being misdiagnosed with conjunctivitis and going blind in my right eye, I was referred to an Ophthalmologist and a blood test found that I have HLA-B27 which was the cause for my recurrent iritis. My case was so severe that in addition to using Prednisolone and Cyclopentolate, I had four steroid injections on the front of my eye and one in the back. Because of the necessary steroid use, unfortunately, this caused a cataract and I had lens replacement surgery at age 41. Currently, I am taking Humira since I was also diagnosed with ankylosing spondylitis. Even with Humira I still will have bouts of iritis. This month I have iritis in both eyes but prior to this, it was three years without inflammation. I never know when iritis will occur and always keep my eye meds with me especially when traveling.

[caryroberts]

I have this and I’ve had to take a steroid off and on for a quite a while. Gotta say the pain is near impossible to describe, there is no running from it. It’s relentless and doesn’t stop if you can find sleep it’s still there.

[lynnsteiner]

I have chronic uveitis in both eyes and after years of injections and Pred Forte drops it is finally under control. Now I’m dealing with recovery from Vitrectomy due to a macula hole. It has been six weeks and the gas bubble is close to being absorbed. Surgery went well and I’ve regained the vision I had prior to the hole. I’m blessed to have been put under the care of a retinal specialist from the beginning. He constantly scans my eyes and that’s how the hole was discovered.

[RiteshRaman]

Thank you for this amazing video. I have had this condition on each of my eye once. Hurts like crazy, extremely sensitive to light. I could relate to each of the things you mentioned and even for medication my eye doctor did prescribe a branded steroid drop, saying exactly what you mentioned here. Great learning video..

[agapetou]

I have it right now. Very painful. Doctor prescribed steroids. I was searching to find more information so I would understand. Thank God for your information. You have clarify this, thank you so very much