DR. AMRUT SATPATHY

Dr.Kiran Bharadwaj, Dr.Ayaskranta Das, Dr.VARSHA BEHERA

Abstract

Anterior uveitis is known to be the most common form of intraocular inflammation. Patients who are diagnosed to have any form of spondyloarthropathy (Ankylosing spondylitis, Psoriatic arthritis, reactive arthritis or Inflammatory bowel disease) are prone to episodes of acute anterior uveitis (AAU). These flares are generally treated with topical steroid eye drops with the dosage and frequency of administration based on the severity determined on slit lamp evaluation in the clinic.

We are reporting a phenomenon whereby patients with any form of spondyloarthropathy may experience a mild flare that does not respond in the expected manner to appropriate steroids. Instead, inflammation worsens and may require injections or oral steroids to bring the flare back under control. We performed a chart review to investigate the phenomenon whereby mild flares in these patients become more severe despite topical steroid treatment.