Symptoms

The patient suffering from acute anterior uveitis is usually aware that there is something seriously amiss with the eye. The vision is blurred and the eye aches and can often be extremely painful. Photophobia is usual and often pain on focusing on near objects is a feature. The age incidence is wide but anterior uveitis is commonly seen in the third and fourth decades of life, and every eye casualty officer becomes familiar with this particular form. When the disease presents for the first time in the elderly, the underlying cause is likely to be different and age provides an important diagnostic feature. Acute anterior uveitis usually appears quite suddenly over a period of about 24h and then resolves on treatment in two or three weeks; however, it may last as long as six weeks. A further exacerbation might occur during this period and there is a strong tendency towards recurrence after a few months or several years in the same or the other eye.

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