schedule OP Timing: 8AM to 7PM Monday to Saturday | Emergency Services after 7PM and Sunday

Our uvea department serves in diagnosing and managing uveitis, an inflammation of the eye’s middle layer that can lead to serious vision complications if untreated. Using advanced imaging and personalized therapies—including corticosteroids, immunosuppressants, and biologics—we aim to control inflammation, preserve vision, and improve long-term eye health.

  • Anterior uveitis
  • Tubercular uveitis
  • Scleritis
  • Toxoplasma retinochoroiditis

Anterior uveitis

Anterior uveitis is inflammation of the uvea's anterior segment, including the iris and ciliary body. Symptoms include eye pain, redness, blurred vision, sensitivity to light, and decreased vision. Causes can be infectious (e.g., herpes simplex), autoimmune (e.g., rheumatoid arthritis), or traumatic. Diagnosis is made through clinical examination and slit-lamp biomicroscopy. Treatment typically involves topical corticosteroids and cycloplegic agents to reduce inflammation and relieve pain. In severe cases, systemic corticosteroids or immunosuppressive agents may be necessary to prevent complications and promote healing.

Anterior uveitis

Tubercular uveitis

Tubercular uveitis is a form of uveitis caused by Mycobacterium tuberculosis infection. It can affect any part of the uvea, including the iris, ciliary body, and choroid. Symptoms include eye pain, redness, blurred vision, and sensitivity to light. Diagnosis is made through a combination of clinical examination, imaging studies, and laboratory tests, including tuberculin skin test and PCR. Treatment involves antitubercular therapy, corticosteroids, and immunosuppressive agents. Prompt treatment is essential to prevent complications, such as cataract, glaucoma, and vision loss.

Tubercular uveitis

Scleritis

Scleritis is a severe inflammatory disease that affects the sclera, the white outer layer of the eye. It is a serious condition that can cause significant pain, vision loss, and even blindness if left untreated.

Types of Scleritis:

  • Anterior scleritis: affects the front part of the sclera
  • Posterior scleritis: affects the back part of the sclera
  • Diffuse scleritis: affects the entire sclera
  • Nodular scleritis: characterized by the formation of nodules on the sclera

Causes:

  • Autoimmune disorders (e.g., rheumatoid arthritis, lupus)
  • Infections (e.g., herpes zoster, tuberculosis)
  • Trauma
  • Inflammatory bowel disease

Symptoms:

  • Severe eye pain
  • Redness
  • Swelling
  • Sensitivity to light
  • Blurred vision
  • Eye tenderness

Diagnosis:

  • Clinical examination
  • Imaging studies (e.g., ultrasound, MRI)
  • Laboratory tests (e.g., blood tests, biopsy)

Treatment:

  • Corticosteroids (oral or topical)
  • Immunosuppressive agents
  • Anti-inflammatory medications
  • Antibiotics (if caused by infection)
  • Surgery (in severe cases)

Complications include vision loss, blindness, scleral thinning or perforation and chronic pain

It's essential to seek medical attention immediately if symptoms persist or worsen over time. Prompt treatment can help prevent complications and preserve vision.

Toxoplasma retinochoroiditis

Toxoplasma retinochoroiditis is a parasitic infection of the retina and choroid caused by Toxoplasma gondii. It is a common cause of posterior uveitis, particularly in individuals with weakened immune systems.

Toxoplasma retinochoroiditis

Symptoms:

  • Blurred vision
  • Floaters
  • Eye pain
  • Redness
  • Sensitivity to Light

Causes:

  • Reactivation of latent toxoplasmosis infection
  • Congenital transmission from mother to child
  • Acquired infection through contact with contaminated food, water, or cat feces

Diagnosis is by clinical examination,fundusphotography,fluorescein angiography,PCR or serological tests to detect T. gondii DNA or antibodies

Treatment:

  • Antiparasitic medications (e.g., pyrimethamine, sulfadiazine)
  • Corticosteroids to reduce inflammation
  • Supportive care to manage symptoms

Complications:

  • Retinal scarring
  • Choroidal neovascularization
  • Vision loss
  • Recurrence of infection

Prevention:

  • Practice good hygiene, especially when handling food or cat litter
  • Avoid consuming undercooked meat or raw eggs
  • Wear gloves when gardening or handling soil
  • Regular eye exams for individuals with weakened immune systems or congenital toxoplasmosis.

Doctors

Dr. Anabi Shahi

Medical Superintendent
MS, DNB, DO, FICO(UK), MRCS(Edin)

stethoscope_arrow Cataract & IOL Services, Uvea Services, General Ophthalmology

event_available OP Days:

Tuesday,Wednesday,Thursday,Saturday