Ophthalmology · Pathway 3

Anterior Uveitis

Standard ophthalmology Linear

Key points

Anterior uveitis (iritis/iridocyclitis): painful red eye, photophobia, small pupil, ciliary injection, cells/flare in anterior chamber.
Associations: HLA-B27 (ankylosing spondylitis, reactive arthritis, psoriatic arthritis, IBD) · sarcoidosis · Behçet's · infections (TB, syphilis, HSV).
Management: topical steroids + cycloplegic (e.g. cyclopentolate) — urgent ophthalmology.
Recurrent unilateral acute anterior uveitis is typical of HLA-B27 disease.