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Chronic Uveitis


What Is Chronic Uveitis?

Chronic uveitis is a long-term inflammation of the uvea, the middle layer of the eye that includes the iris, ciliary body, and choroid. Unlike acute uveitis, which resolves quickly, chronic uveitis lasts for more than six weeks and can lead to permanent vision damage if left untreated. This condition may affect one or both eyes and requires ongoing management to prevent flare-ups and complications.


Causes of Chronic Uveitis

Chronic uveitis can result from autoimmune disorders, infections, or trauma. Common associated conditions include rheumatoid arthritis, sarcoidosis, and lupus. In some cases, the exact cause remains unknown (idiopathic). The immune system may mistakenly attack eye tissues, leading to prolonged inflammation. Identifying and treating the underlying cause is critical in managing the disease and reducing the risk of recurring symptoms and vision loss.


Symptoms of Chronic Uveitis

Symptoms of chronic uveitis often develop gradually and may include persistent eye redness, blurred vision, sensitivity to light, eye pain, and floaters. Because these signs can mimic other eye conditions, chronic uveitis is sometimes overlooked in its early stages. If symptoms last beyond a few weeks or worsen over time, prompt evaluation by an eye care professional is essential for accurate diagnosis and effective treatment.


Treatment Options for Chronic Uveitis

Treatment for chronic uveitis focuses on reducing inflammation, relieving symptoms, and preventing complications. Corticosteroid eye drops are commonly prescribed, but oral medications, injections, or immunosuppressive drugs may be necessary for severe or recurring cases. In some instances, surgery may be required to address complications. Ongoing monitoring and adjustments to treatment plans help manage the condition effectively and preserve vision.


Complications of Untreated Chronic Uveitis

If left untreated, chronic uveitis can lead to serious complications such as cataracts, glaucoma, macular edema, and permanent vision loss. Prolonged inflammation damages eye structures, making it essential to seek medical attention at the first sign of symptoms. Early diagnosis and consistent treatment are key to minimizing long-term damage and maintaining healthy vision.


When to See a Doctor for Chronic Uveitis

You should consult an eye specialist if you experience persistent eye redness, pain, sensitivity to light, or vision changes lasting more than a few days. Prompt medical attention can prevent irreversible eye damage. Regular follow-ups are also important if you have a known autoimmune condition or history of uveitis, as early intervention helps control inflammation and maintain vision health.


Preventing Recurrence of Chronic Uveitis

Preventing chronic uveitis flare-ups involves managing underlying health conditions, following your treatment plan, and attending regular eye exams. Avoiding known triggers, taking medications as prescribed, and communicating any new symptoms to your eye doctor are essential steps. With proper care and monitoring, many patients can significantly reduce the frequency and severity of uveitis episodes.

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