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Journal Français d'Ophtalmologie
Volume 41, n° 1
pages e11-e21 (janvier 2018)
Doi : 10.1016/j.jfo.2017.11.003
Received : 1 September 2017 ;  accepted : 14 November 2017
Editor's choice

Anterior uveitis

Figure 1

Figure 1 : 

Appearance of granulomatous keratic precipitates. “Mutton fat” precipitates (a); distribution in an inferiorly based triangle in sarcoidosis (b); stellate whitish appearance with diffuse, regular distribution to the top of the cornea, suggestive of Fuchs heterochromic iridocyclitis (c and d); few, central, clear precipitates in Posner–Schlossman syndrome (e and f); central or paracentral gray precipitates with paving-stone appearance, of herpetic uveitis (g and h).

Figure 2

Figure 2 : 

Granulomatous anterior uveitis and iris nodules. Appearance of multiple iris nodules at the pupillary margin (Koeppe nodules) and iris stroma (Busacca nodules) (a); isolated Koeppe nodule in anterior uveitis associated with multiple sclerosis (b); angular iris nodule in sarcoidosis and its appearance on gonioscopy (c and d).

Figure 3

Figure 3 : 

HLA-B27 positive non-granulomatous uveitis. Note the fibrin present on the anterior lens and the dust-like cellular deposit inferiorly (a); note the fibrin on the anterior lens, persistent posterior synechia, hypopyon and absence of keratic precipitates (b).

Figure 4

Figure 4 : 

Sectoral iris atrophy in herpetic uveitis. Sectoral transillumination (a and b); more diffuse involvement (c); sectoral iris atrophy causing corectopia, note the old pigmented keratic precipitates (d).

Figure 5

Figure 5 : 

Differential diagnosis of anterior uveitis. Appearance of ICE syndrome, which may mimic herpetic uveitis (a); inverted appearance of the endothelial mosaic confirms the diagnosis on specular microscopy (b) compared to the healthy eye (c).

Figure 6

Figure 6 : 

Therapeutic management of non-infectious anterior uveitis adapted from LeHoang, P. The gold standard of noninfectious uveitis: corticosteroids. Dev Ophthalmol 2012.

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