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Uveitis is a medical condition in which the uvea becomes inflamed. The uvea is the pigmented layer that lies between the inner retina and the outer fibrous layer of the eye. It is composed of both the sclera and cornea and consists of a middle layer of pigmented vascular structures which includes the iris, ciliary body, and choroid. Uveitis is an eye disease which is classified as an Ophthalmic Emergency and requires urgent treatment to control the inflammation by an Ophthalmologist.

Signs and Symptoms of Uveitis

The following is a list of Signs and Symptoms of Uveitis:


  • Burning of the eye

  • Redness of the eye

  • Blurred vision

  • Photophobia

  • Irregular pupil

  • Dilated ciliary vessels

  • The presence of cells and flare in the anterior chamber of the eye

  • Keratic precipitates on the posterior surface of the cornea 

  • Hypopyon (in severe cases)

  • Pigment deposits on the lens

  • Busacca nodules

  • Synechia

  • Intermediate uveitis

  • Floaters ( dark spots that float in the visual field)

  • Blurred vision

The Treatment of Uveitis

The most common Treatment of Uveitis is the application of glucocorticoid steroids either as topical eye drops or as an oral treatment. In some cases of Uveitis, topical cycloplegics such as atropine or homatropine may also be prescribed by an Ophthalmologist. In severe cases of Uveitis, an injection of posterior subtenon triamcinolone acetate may be given in addition to other treatments to reduce the swelling of the eye. Antiviral medications, such as valaciclovir or aciclovir are often prescribed for cases of Herpetic Uveitis.


A Medical Note! The prompt diagnosis and treatment of Uveitis will generally mean that the medical prognosis for recovery is good. However, it must be noted that  serious complications such as cataracts, glaucoma, band keratopathy, macular oedema and permanent vision loss may result if left untreated. Additionally, the type of Uveitis, its severity, its duration, and the responsiveness of the patient to treatment will influence the final prognosis.


For more information on Uveitis please book an appointment with Dr Aleksic at his consultation rooms in Sea Point, Cape Town.

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