Eye pain, redness, tears, iritis, main symptoms

In the clinic, a well-dressed young man appeared, but his face was full of sadness. He complained that his right eye was red, swollen, painful and afraid of light for several days. After a detailed examination, I told him that it was not ordinary conjunctivitis, but iriditis. Suddenly, his eyes lit up and he felt that he had found a bosom friend. He described his history of irregular diseases for several years from beginning to end.

Patients with iritis should pay special attention to other systemic symptoms and syndromes. (Photo/Huang Zhiwen) The so-called iritis refers to the iridescence that constitutes the pupil and the connected ciliary body, which is caused by the disharmony of the autoimmune system. Generally speaking, monocular eye mostly occurs in young men, and the main symptoms are photophobia, pain, redness, tears and decreased vision. The whole course lasts for several weeks, and it may recur after the symptoms disappear.

After examination, it can be found that conjunctival swelling is distributed radially, white spots appear in the inner layer of cornea due to the accumulation of inflammatory cells, protein and inflammatory cells appear in the aqueous humor of anterior chamber, and iridescence sometimes sticks to the posterior lens, which may also lead to cataract.

In terms of treatment, the most important task in the acute phase is to quickly suppress the inflammatory state to avoid pupil adhesion and cataract. The drugs used are mainly steroids and eye drops for the treatment of cycloplegia. In addition, the intraocular pressure will fluctuate during the whole treatment, so special attention must be paid to the control of glaucoma. As long as the treatment is timely, generally speaking, good eyesight can be restored.

It is worth noting that patients with iritis may be complicated with other systemic symptoms and produce special syndrome due to the disharmony of their own immune systems. There are two common types, one is ankylosing arthritis complicated with iritis, and the other is arthritis, urethritis and conjunctivitis, which together form the so-called Ryder syndrome, and Ryder syndrome often coexists with iritis.

In addition, there are some serious uveitis, in addition to iriditis, it will also cause choroiditis, indirectly affect the retina, leading to a serious decline in vision, and the whole system will also have different degrees of impact, such as Behcet's disease, which requires detailed differential diagnosis and appropriate treatment.