Uveitis, Intermediate

Key Features

• Intermediate uveitis or pars planitis is described as inflammation located in the far anterior periphery of the retina and vitreous base

Clinical Findings

• Decreased vision and floaters

• History of a red eye and ocular discomfort

• A prolonged duration of the disease can lead to deprivation amblyopia and strabismus

Diagnosis

• A dilated examination is required for observation of inflammation of the pars plana and vitritis

• Slit-lamp and dilated funduscopic examinations by an ophthalmologist often reveal chronic signs of inflammation associated with intermediate uveitis, including

  • Macular edema

  • Cataracts

  • Increased intraocular pressure

  • Irregular pupil

  • Iris adhesion to the lens

  • Band keratopathy

Treatment

• Most common regimens include subtenon steroid injections, vitrectomy by a retinal surgeon, and systemic immunosuppression

• Secondary glaucoma often requires tube shunt surgery