Uveitis classification: Difference between revisions

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==Overview==
==Overview==
Uveitis is best described using various, concurrent classification systems. Uveitis may be classified according to anatomical location into 4 subtypes, depending on which part of the [[uvea]] is primarily affected: anterior, intermediate, posterior, and panuveitis. Based on the duration of symptoms it may be further sub-classified as acute or chronic. Upon further investigation, uveitis may be classified according to histological features of the inflammation such as granulomatous or non-granulomatous. Additionally, uveitis may be described by the laterality of the condition (unilateral or bilateral). Finally, uveitis may be classified by general underlying systemic causes such as infectious, autoimmune, drug-induced, or idiopathic.
Uveitis is best described using various, concurrent classification systems. Uveitis may be classified according to anatomical location into 4 subtypes, depending on which part of the [[uvea]] is primarily affected: anterior, intermediate, posterior, and panuveitis. Based on the duration of symptoms it may be further sub-classified as acute or chronic. Upon further investigation, uveitis may be classified according to histological features of the inflammation such as granulomatous or non-granulomatous. Additionally, uveitis may be described by the laterality of the condition (unilateral or bilateral). Finally, uveitis may be classified by general underlying systemic causes such as infectious, autoimmune, drug-induced, or idiopathic.<ref name="pmid18379933">{{cite journal| author=Deschenes J, Murray PI, Rao NA, Nussenblatt RB, International Uveitis Study Group| title=International Uveitis Study Group (IUSG): clinical classification of uveitis. | journal=Ocul Immunol Inflamm | year= 2008 | volume= 16 | issue= 1 | pages= 1-2 | pmid=18379933 | doi=10.1080/09273940801899822 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18379933  }} </ref><ref name="pmid16196117">{{cite journal| author=Jabs DA, Nussenblatt RB, Rosenbaum JT, Standardization of Uveitis Nomenclature (SUN) Working Group| title=Standardization of uveitis nomenclature for reporting clinical data. Results of the First International Workshop. | journal=Am J Ophthalmol | year= 2005 | volume= 140 | issue= 3 | pages= 509-16 | pmid=16196117 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16196117  }} </ref><ref name="pmid10688564">{{cite journal| author=McCluskey PJ, Towler HM, Lightman S| title=Management of chronic uveitis. | journal=BMJ | year= 2000 | volume= 320 | issue= 7234 | pages= 555-8 | pmid=10688564 | doi= | pmc=1117601 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10688564  }} </ref><ref name="pmid17311570">{{cite journal| author=Gutteridge IF, Hall AJ| title=Acute anterior uveitis in primary care. | journal=Clin Exp Optom | year= 2007 | volume= 90 | issue= 2 | pages= 70-82 | pmid=17311570 | doi=10.1111/j.1444-0938.2006.00128.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17311570  }} </ref>


== Classification ==
== Classification ==

Revision as of 19:36, 26 July 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Uveitis is best described using various, concurrent classification systems. Uveitis may be classified according to anatomical location into 4 subtypes, depending on which part of the uvea is primarily affected: anterior, intermediate, posterior, and panuveitis. Based on the duration of symptoms it may be further sub-classified as acute or chronic. Upon further investigation, uveitis may be classified according to histological features of the inflammation such as granulomatous or non-granulomatous. Additionally, uveitis may be described by the laterality of the condition (unilateral or bilateral). Finally, uveitis may be classified by general underlying systemic causes such as infectious, autoimmune, drug-induced, or idiopathic.[1][2][3][4]

Classification

Uveitis can be described according to the following classifications:[1][2]

  • Classification by Anatomical Location
  • Classification by Duration of Symptoms[3]
    • Acute: Active uveitis for less than 3 months.
    • Chronic: Active uveitis for more than 3 months.
  • Classification by type of inflammation[4]
    • Granulomatous: showing granulomatous inflammation on slit lamp test
    • Non-granulomatous showing no granulomatous inflammation on slit lamp test
  • Classification by Laterality
    • Unilateral: Single eye involvement
    • Bilateral: Both eyes involvement
  • Classification by Etiology[1][2]
    • Idiopathic: No known cause
    • Infectious: Bacterial, viral, fungal, or parasitic cause
    • Autoimmune/Inflammatory: Caused by a systemic non-infectious inflammatory condition commonly associated with uveitis
    • Drug-Induced: Iatrogenic cause by medications that are associated with incidence of uveitis

References

  1. 1.0 1.1 1.2 Deschenes J, Murray PI, Rao NA, Nussenblatt RB, International Uveitis Study Group (2008). "International Uveitis Study Group (IUSG): clinical classification of uveitis". Ocul Immunol Inflamm. 16 (1): 1–2. doi:10.1080/09273940801899822. PMID 18379933.
  2. 2.0 2.1 2.2 Jabs DA, Nussenblatt RB, Rosenbaum JT, Standardization of Uveitis Nomenclature (SUN) Working Group (2005). "Standardization of uveitis nomenclature for reporting clinical data. Results of the First International Workshop". Am J Ophthalmol. 140 (3): 509–16. PMID 16196117.
  3. 3.0 3.1 McCluskey PJ, Towler HM, Lightman S (2000). "Management of chronic uveitis". BMJ. 320 (7234): 555–8. PMC 1117601. PMID 10688564.
  4. 4.0 4.1 Gutteridge IF, Hall AJ (2007). "Acute anterior uveitis in primary care". Clin Exp Optom. 90 (2): 70–82. doi:10.1111/j.1444-0938.2006.00128.x. PMID 17311570.

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