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Traumatic iritis - External and Internal Eye
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Traumatic iritis - External and Internal Eye

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Contributors: D. Chimene Richa MD, Deepak Sobti MD, Lauren Patty Daskivich MD, MSHS
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Synopsis

Traumatic iritis : Photophobia, Vision loss, Excessive tearing, Ocular pain, Red eye
Traumatic iritis is intraocular inflammation confined to the anterior chamber of the eye, specifically occurring after trauma to the eye or orbit. It is part of a broader spectrum of conditions commonly referred to as anterior uveitis. It typically starts within 3 days of the orbital or ocular trauma.

Typical symptoms include:
  • Photophobia, especially with miosis, and pain in the traumatized eye when light is shined in either eye
  • Dull or aching pain
  • Tearing
  • Visual disturbances / floaters
  • Decreased visual acuity

Codes

ICD10CM:
H20.00 – Unspecified acute and subacute iridocyclitis

SNOMEDCT:
417020006 – Traumatic iritis

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Traumatic corneal abrasion – diagnosed on slit lamp examination with fluorescein
  • Traumatic microhyphema
  • Other nontraumatic causes of anterior uveitis:
    • HLA-B27 associated uveitis
    • Anterior uveitis associated with ankylosing spondylitis
    • Anterior uveitis associated with psoriatic arthritis
    • Anterior uveitis associated with herpetic eye infections
    • Idiopathic anterior uveitis
  • Traumatic retinal detachment – may also present with cells in the anterior chamber

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:08/13/2019
Last Updated:08/18/2019
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Traumatic iritis - External and Internal Eye
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Traumatic iritis : Photophobia, Vision loss, Excessive tearing, Ocular pain, Red eye

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