What is Uveitis?
Uveal tissue inflammation is called uveitis. The main factors that increase the success in treatment are early diagnosis, regular follow-up, compatible patient physician relationship and correct treatment. When these conditions are met, the eye can often be saved.
Uvea is now considered a separate specialty of the eye. The diagnosis and treatment of Uvea-related diseases are supported by the progressive advances in immunology and genetics.
Even if the treatment is completed, the patient should be followed up at least every three months. The controls should not be interrupted since the disease may recur silently. It is also necessary to inform the ophthalmologist about different symptoms related to other organs. For example, aphthous mouth, spots on the skin, rheumatic symptoms Örneğin
It covers the gel-like material in the middle of the eyelet and surrounds a sheath consisting of 3 layers. The middle layer is UVEA. Uvea’s inflammation is called ÜVEIT. Uveitis may affect all or one of the layers of the eye, the iris, the choroid and the lash body, which we call uvea.
This should not be confused with inflammations due to microbes. Even if uveitis has started because of a virus or germ, it is actually a condition that this microbe or virus changes the immune response.
For this reason, uveitis is an extremely complex disease, and each patient may have a different course. The treatment is as personal as the course of the disease. In the treatment to be applied, the dose of the drug must be determined by the experienced and experienced physicians in the uvea.
When uveitis occurs in the anterior part of the eye, it may cause eye rash, blurred vision, pain around the eyes, sensitivity to light, and flight. If the uveitis is intense in the posterior part of the eye, the symptoms are mostly in blurred vision. If uveitis holds the visual center, permanent vision loss due to sudden vision loss and tissue damage occurs. Damage to the uveitis occurring outside the central region does not cause permanent visual loss unless the macula is affected.
Vascular edema and edema
Reduction of the pupil
Inflammation cells in front of the lens behind the lens
Decline in vision or blur
Severe eye pain
Sensitivity to light and glare,
Spots in the visual field
Sudden light flashes
Causes of uveitis
In 30-40% of patients with uveitis, the cause of uveitis cannot be determined exactly. Uveitis can be caused by factors such as viruses, fungi and parasites, but also as a symptom of a disease in the body. Therefore, it is necessary to investigate diseases with various assays. In addition, uveitis may occur with the systemic diseases we define as collagen tissue and autoimmune origin. Examples include Behçet’s disease, ankylosing spondylitis and rheumatoid arthritis.
Discomfort that can cause uveitis:
Behcet ‘s disease
Infections (bacteria, viruses, parasites or fungi) can spread to the eye from other regions: tuberculosis, syphilis, herpes, toxoplasmosis, etc.
Eye trauma and surgery
Autoimmune reaction (immune system diseases) rheumatic diseases, ulcerative colitis, sarcoidosis
How to Diagnose Uveitis
No matter what violence, uveitis is an emergency. When late, the disease progresses and may cause permanent side effects such as deformities, cataracts and elevated eye pressure due to inflammation. When the symptoms start, the first job is to be examined by an experienced ophthalmologist. Being late for the first examination can lead to a permanent loss of vision.
Some types of uveitis have a typical appearance and can be diagnosed immediately. Even in these cases, advanced techniques such as angiography, ultrasonography, and ERG may be necessary to understand the extent to which vision is threatened and to monitor the effectiveness of the treatment if it is to retain the posterior portion of the eye. For example, angiographies performed with a (indocyan green) dye called ICG may provide direct diagnosis of the disease in suspicious cases.
Then, joint research with rheumatologists, chest diseases, skin diseases and neurologists can be done.
Types of Uveitis
Congenital anomalies of uvea
Aniridia (absence of irris)
The polycoria; Large number of Pupils
The Pupilektop; Pupilla is oval below and below
Uveitis is called uveitis. Uveitis has three types.
Search for uveitis
Behçet’s Disease Causes
The cause of Behçet’s disease is unknown. There are disorders of the immune system and inflammation in the vessels, but it is not known what initiates this reaction. Although genetic effects, past diseases and environmental factors are responsible, no single cause can be shown.
For the first time in 1937, the Turkish dermatologist Ordinaryüs Professor. Behçet’s disease described by Hulusi Behçet is a chronic disease that causes wounds and inflammation in the mouth and genital areas. People living in certain latitudes, often called Silk Road, are seen in Mediterranean countries, Israel and Japan, and most often in our country.
Apart from these important symptoms, it can have devastating effects on different organs such as large vessels, central nervous system (brain), joints, skin, digestive system, skin, lungs.
Since Behçet’s Disease is such a dangerous disease, the patient is followed up and treated as için Behçet’s suspicion bu even if there are only one symptom. Not all findings are expected