Iridocyclitis

October 28, 2011

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Iridocyclitis   (from the Greek. iridos   - Iris, kykios   - Eye) - a disease in which inflamed Iris   and ciliary body   or the affected part of the anterior part of the vascular tract of the eye. The disease is more common in young adults, since 20 years, and can affect both or one eye.

The separate injury of the iris is diagnosed iritis And seized only if the inflammation ciliary body, it cyclitis . However, inflammation usually encompasses both structures.

Allocate endogenous iridocyclitis Resulting from the inclusion in the tissue of the iris and ciliary body pathogen - viruses . bacteria . fungi . Chlamydia   or toxins in tissues. Exogenous iridocyclitis   It occurs as a complication of a variety of inflammatory diseases of the cornea, and as a result of penetrating damage of the eyeball.

There are the following types of iridocyclitis:

• infectious ;
• Allergic   (infectious and noninfectious);
• posttraumatic   and postoperative ;
• systemic diseases.

In course of the disease, it is iridotsyklit sharp . subacute   and chronic . By the nature of inflammation share iridocyclitis serous . exudative . purulent . fibrinopurulent plastic   and haemorrhagic . All of them have different clinical picture, depending on the causes of the disease.

The main reasons are iridocyclitis various infectious diseases of the body - flu . tuberculosis . syphilis . herpes . leptospirosis . gonorrhea As well as eye injury, surgery on the eyeball. Sometimes the cause iridocyclitis may be pockets of chronic infection in diseases of the sinuses, tonsils, jaw. In such cases, prevention of iridocyclitis. Also, the disease can occur in systemic diseases of the body, such as the rheumatism . sarcoidosis . diabetes . These are called endogenous iridocyclitis.

More often, however iridocyclitis may occur as a result of penetration into the iris and sclera of viruses, bacteria, fungi, and also as a consequence of any inflammatory diseases of the eye (iridocyclitis exogenous). This contributes to the development of vascular net in the iris and ciliary body, which favors the development of harmful microorganisms. Aggravating factors are also trauma, hypothermia, excessive exercise, stress.

Symptoms iridocyclitis

In medical practice, there are the following symptoms iridocyclitis:

• pain in the eye and the temporal region;
• photophobia;
• watery eyes;
• redness of the eyeball;
• decreased visual acuity;
• narrows the pupil ( corestenoma ), It may be irregular in shape;
• change the pattern and color of the iris, drawing as it were "smoothed out";
• vitreous opacities;
• in the anterior chamber can appear fluid, which accumulates in the form of a crescent or strips with a gray or yellow content;
• in the presence of exudate   can form adhesions ( rear adhesions );
• changes in intraocular pressure.

When these symptoms should immediately go to the doctor, iridocyclitis timely diagnosis and initiation of treatment can cure it without complications.

Diagnosis iridocyclitis

Iridocyclitis Diagnosis is based on comprehensive examination, examination of the eyeball ( Biomicroscopy ) And to determine the patient's complaints. Appointed ophthalmology and immunological patient examination, general blood analysis X-rays of the sinuses, visit the dentist, endocrinologist, allergist and otolaryngologist.

Treatment of iridocyclitis

If you have identified in their symptoms iridocyclitis, you need as soon as possible go to the doctor. Treatment of the disease - a complex, held in the hospital. Proper treatment of iridocyclitis affects the inflammation in the iris and ciliary body, and the immunity of the patient.

Treatment typically begins with medications that expand the pupil and contribute to the removal of pain and prevent the development of adhesions. The structure consists of a drop antibiotics   broad-spectrum anti-inflammatory drugs ( Indomethacin . brufen   and etc.). Medications can also enter subkonyunktivalno, ie injections under a mucosa of the eyeball, as well as in the form of tablets or intravenously and intramuscularly. Also held specific therapy that is assigned depending on the cause of the disease.

In case of complications iridocyclitis apply immunomodulators   and cytostatics . In the form of physiotherapy the electrophoresis with antibiotics, adrenaline   and other substances. At elevated intraocular pressure in iridocyclitis also prescribed diuretics. Treatment of iridocyclitis continues until the disappearance of the choroid.

Prevention iridocyclitis

Disease prevention is timely treatment of various diseases, as well as the elimination of inflammatory lesions in the body. It is also important at the onset of symptoms immediately contact a doctor and not self-medicate.

Complications iridocyclitis

Possible complications include iridocyclitis spread inflammation in the cornea, retina and optic nerve. It is also possible imperforate pupil . inflammation of the optic nerve . retinal disinsertion . atrophy of the eyeball . blindness . But with timely treatment, the prognosis is favorable.