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Iritis
Iritis is a descriptive term for an inflammatory disorder
of the colored part of the eye (iris). In the majority of
cases there is no specific cause. Sometimes iritis is just
one symptom of a disease that affects other organ systems:
arthritis and spinal degenerative disease, juvenile rheumatoid
arthritis, psoriasis, lupus, and other collagen vascular diseases,
bowel disturbances such as ulcerative colitis and regional
enteritis, sarcoid. Some infections may cause iritis. Most
often, however, iritis appears by itself.
The symptoms of iritis include light sensitivity, red eye,
blurred vision, tearing, pain, and sometimes floaters. The
pupil may appear small in the affected eye when compared to
the normal pupil. Frequently iritis is a recurrent problem;
after a few episodes patients become very astute at early
diagnosis. Iritis is sometimes confused with conjunctivitis,
a much less serious disorder of the clear outer lining of
the eye.
The secrets to the successful treatment of iritis are early
detection and proper choice of medicines. Therapy consists
of anti-inflammatory and dilating drops. These medicines decrease
the inflammation and reduce the scarring that can occur. Persistent
cases may require more intensive treatment. Successful treatment
of iritis depends on careful and consistent compliance by
the patient.
In serious cases, complications may arise. Cataracts, glaucoma,
and corneal changes are possible consequences of both the
disease and the medicines used to treat it. Careful observation
is needed in the resolving phase to monitor potential problems.
If the medicines are withdrawn too rapidly, a recurrence is
very possible.
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