Atlas of Ophthalmology

Anterior Uveitis with Hypopyon HLA B27 Ankylosing Spondylitis

Anterior Uveitis with Hypopyon HLA B27 Ankylosing Spondylitis
25 year old African American male presented with acute recurrent eye pain, photophobia and red eye. The left photo shows the patient on presentation with uveitis and a hypopyon. The cell and flare made visualization of iris detail difficult. The right photo shows almost complete resolution of the hypopyon after five days of topical prednisolone 1% that was administered 1 drop every hour. Steroids and cycloplegics were started to minimize cicatricial damage to eye and other complications such as uveitic glaucoma. The most common etiology for non infectious hypopyon anterior uveitis is HLA B27, which was the case in this patient. The posterior segment was unremarkable in this case. Workup on this patient revealed positive HLA B27 anklylosing spondylitis (verified by sacroiliac radiological films) Other HLA B27 etiologies: Reiter syndrome, Inflammatory bowel, Psoriatic arthritis
Luviano, Damien, M.D., SETMA Diabetes Center of Excellence¦0RN, MSN, FNP-BC , Beaumont, USA
H20.0, H20.1, M45, H57.1
Iris and Ciliary Body -> Anterior Uveitis/Iridocyclitis
7938
Copyright @ Online Journal of Ophthalmology

-------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- --------------------------

© OnJOph.com