Causes and symptoms, treatment of acute iridocyclitis


1. causes and mechanisms of disease

2. Clinical signs of the disease: chronic and acute iridocyclitis

3. Treatment of iridocyclitis

Iridocyclitis - infectious ornon-infectious inflammation of the front part and the middle part of the choroid, and it was his iris and ciliary (ciliary) body.

causes and mechanisms of disease

In most cases, iridocyclitis is not an independent disease, as a rule, it is - a common complication of the disease organism, or directly to local inflammatory eye process.

Thus, the following most common causes of iridocyclitis:

  • infections of the oral cavity (eg carious teeth), nose, throat and sinuses
  • bacterial infections: tuberculosis, leptospirosis, brucellosis, sexually transmitted diseases (gonorrhea, syphilis)
  • viral infections: influenza, measles, herpes
  • protozoa (parasitic) infection: toxoplasmosis, malaria
  • rheumatic diseases of the joints: rheumatism, rheumatoid arthritis
  • endocrine and neurological disorders in the body, and other
    systemic diseases
  • traumatic injuries
  • eyeballsinflammation of the cornea
  • hypothermia.

Quite often the cause can not be determined iridocyclitis.

most commonly diagnosed tuberculous iridocyclitis (in 27% of cases), but, nevertheless, recently there has been a tendency to reduce the number of patients with iridocyclitis tubercular etiology.

In 17% of cases the cause iridocyclitis steel infections of the oral cavity and nasopharynx.A similar proportion of patients sick rheumatic iridocyclitis.And every twentieth patient iridocyclitis reason - the herpes virus.

mechanism of the disease is quite simple.Antigens (foreign body molecule) of infectious or non-infectious diseases are spread through the blood vessels throughout the body, getting into the vascular membrane of the eye.There are "safely" locked, what an important role is played by slow blood flow in the vessels of the eyeball.After such a "lock" and begin to show symptoms of iridocyclitis.

Clinical signs of the disease: chronic and acute iridocyclitis iridocyclitis

suffer mostly young people up to forty years.Women are more common infectious iridocyclitis, men - arthritic, elderly disease is associated with gout, diabetes and arthritis, in children cause iridocyclitis becomes streptococcal or staphylococcal infection.

iridocyclitis severity of symptoms depends on the form of the disease.There are acute and chronic iridocyclitis.

Clinical signs of acute iridocyclitis developing very quickly, they begin to appear as early as a few hours.

Most often, patients with acute iridocyclitis complain of these symptoms:

  • severe pain in the eye, which is enhanced at night
  • when looking at the light eye reacts excessive tearing, which can remain constant symptom iridocyclitis, regardless of the action of light
  • blurred vision"veil" in front of the eyes

diagnosis takes place on the basis of the following symptoms of iridocyclitis:

  • iris has a muddy shade
  • pupil narrowed, deformed and hardly reacts to light
  • on the back surface of the cornea, crystallite and vitreous visibledeposition of exudate (fluid that propotevaet with blood vessels) -
  • precipitates formed adhesions
  • intraocular pressure is reduced between the pupil and the lens, but at some stage of the disease, it can increase
  • perilimbalnye dilated blood vessels.

Among all cases, the incidence of acute iridocyclitis often found its influenza and rheumatic forms.

with influenza acute iridocyclitis there is extensive inflammatory reaction, which soon leads to the fusion of the edges of the iris and the anterior lens sheath.

Rheumatoid acute iridocyclitis is characterized by sharp pain and bleeding in the anterior chamber of the eyeball.Typically, the disease affects both eyes simultaneously.

Chronic iridocyclitis is difficult to diagnose and, in spite of the less pronounced symptoms, brings to the body is not less negative effects than acute iridocyclitis.

Symptoms of chronic iridocyclitis similar to the symptoms of acute, but less pronounced, which often leads to untimely beginning of the treatment of iridocyclitis.

The most common chronic form of the disease is diagnosed in patients with tuberculosis, people have a tendency to herpetic eruptions, as well as those who have suffered an eye injury.

Treatment of iridocyclitis

Before treatment it is important to find and eliminate the cause iridocyclitis.After identifying its therapeutic measures should be directed to the following:

1. Therapy primary (causal) disease.

2. Directly ophthalmologic treatment of iridocyclitis.

The original purpose of the topical treatment of iridocyclitis - pupil dilation, and thus, not assumptions adhesions of the iris to the lens.For this patient eye instilled in one-mydriatics preparations (preparations for pupil dilation), e.g., homatropine or atropine sulfate.

To eliminate the main symptoms of iridocyclitis, namely pain, eye drops are used based on diclofenac for example, to relieve pain in the eye must be based on drip Analgesic diklofe.With a strong pain syndrome anesthetic drug should be taken even inside.

After these steps the patient to be hospitalized for a full range of therapeutic measures.Among them:

  • topical and internal use of antibiotics by injection and by electrophoresis (in the case of infectious and infectious-allergic iridocyclitis)
  • general desensitization (allergy)
  • therapy physiotherapy (electrophoresis, UHF, phonophoresis and others)
  • radiotherapy (rarely used, its purpose - the elimination of iridocyclitis symptoms, particularly pain relief)
  • enzyme therapy (used in the treatment of iridocyclitis subsided only after the inflammatory process)
  • immunotherapy (held during the entire treatment period).

desensitizing therapy is carried out by receiving salicylic acid drugs, painkillers and anti-inflammatory (phenylbutazone, reopirin), antihistamines (diphenhydramine), drugs, as well as means a beneficial effect on the walls of the vascular system and corticosteroids (hydrocortisone, prednisone, deksazon, dexamethasone, polkortolon).

But even after effective treatment of iridocyclitis is not excluded it from occurring again.Most often recurs iridocyclitis, the cause of which could not be found.As well as iridocyclitis, the occurrence of which is associated with recurrence of the underlying disease (eg, recurrent rheumatism fall and spring) and frequent exposure.

In order to avoid the negative consequences of the disease, such as secondary cataract and secondary glaucoma when the first symptoms of iridocyclitis should seek medical help.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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