The eye can be divided into different layers:
- The outside of the eye is called the sclera, and it is covered by a transparent tissue called the conjunctiva. The sclera is the white part of the eye that you can see.
- The middle part of the eye is called the uvea. The uvea is made up of the iris (the colored part of the eye that you can see), ciliary body, and choroid layer of blood vessels.
- The inner layer of the eye is the retina. The retina can only be seen by your doctor after your eye is dilated.
Technically, uveitis is inflammation of the uvea, the middle part of the eye. However, uveitis is used as a general term to describe inflammation occurring in any part of the eye, including in the vitreous (the clear, jelly-like substance that fills the middle of the eye between the lens and the retina), optic nerve, and retina.
The board-certified retina surgeons at Retinal Consultants of Houston treat uveitis and work with each patient to prevent additional problems such as severe vision loss. Drs. Christopher Henry and Rosa Kim both specialize in the treatment of uveitis. With advanced training and participation in uveitis clinical trials, both are knowledgeable and work with patients to achieve optimal outcomes.
Symptoms of Uveitis
Depending on the severity and type of uveitis, the patient may experience varying degrees of some or all of the following symptoms:
- Eye pain
- Redness of the white part of the eye
- Blurry vision
- Floaters or spots in the vision
- Light sensitivity
"Mine was, more or less, an urgent situation, so I was very lucky to be able to see her. She had a staff who did the photos/preliminary exams and they were excellent. When I saw her, she had all the results. The news was good and she gave me all the info I needed. To me, time spent was not relevant, as she gave me all the time I needed to ask questions. Since the news was good, I had very few questions."- F.A. / Healthgrades / Oct 06, 2018
"Five Stars - My husband and I have been Dr Kim’s patient for over 17 years. She is a compassionate, knowledgeable, detailed oriented doctor with excellent bedside manner. She had saved my husband’s vision from macular degeneration. We all love her and will be her faithful patients forever."- Anonymous / Vitals / Jul 19, 2018
"For the last three years I've been treated by the Retina Consultants of Houston at the Sugar Land location and have been extremely satisfied with the very professional, courteous staff and Dr. Chen. When at the office in the waiting rooms I've spoken with numerous other patients who have all had the same comments of satisfaction. My observations have always been that the staff and doctors work hard to keep patients waiting time at a minimum, while maintaining the excellent quality of care. I would not go any where else."- S.R. / Google / Jun 22, 2018
"Dr. Brown is an excellent surgeon. If you want the best, you have to make a sacrifice. I have been a patient of Dr. Brown, for decades, and I would recommend him to anyone. I would be completely blind if not for Dr. Brown, and God, the Most Holy of Holy."- M.S. / Healthgrades / May 16, 2018
"My left retina had tear in it and I had no clue of what was happening, but was referred to the Retina Consultants of Houston and was blessed with meeting Dr. Wykoff. He repaired my eye while explaining everything in detail and helping me to feel comfortable. Less than a year later my right eye did the same thing but a little worse. Nowadays, I will only let Dr. Wykoff work on me. I am seeing great today and at 58 have zero floaters, etc. This Doctor is the best."- C.P. / Google / Mar 16, 2018
Types of Uveitis
Uveitis is generally divided into three types:
- Anterior uveitis (front of the eye): This is the most common type of uveitis and results from inflammation of the iris and/or ciliary body. Most patients with this type of uveitis experience the classic symptoms of eye discomfort, eye redness, and light sensitivity.
- Intermediate uveitis (middle part of the eye): This type of uveitis results from inflammation of the vitreous. It is generally painless, and the eye does not always look red on exam. The most common symptom is floaters.
- Posterior uveitis (back part of the eye): This results from inflammation of the retina and choroid. It is the least common type of uveitis but generally the most severe. Symptoms vary, but vision loss is common.
There is also a type called pan-uveitis which affects the entire eye and is typically a very severe form of uveitis.
Causes of Uveitis
There are several causes of uveitis, including inflammatory/autoimmune conditions, infections, trauma, and even cancer. The location of the uveitis, whether it affects one or both eyes, and how long it has been present can all be clues as to what may cause it. However, in some cases, especially in anterior uveitis, we may not be able to determine the cause of the inflammation. The following lists a few conditions that may be associated with uveitis:
- Idiopathic (unknown cause)
- Ankylosing Spondylitis
- Acute Retinal Necrosis
- Birdshot Chorioretinopathy
- Herpes Simplex/Zoster
- Inflammatory Bowel Disease
- Intermediate Uveitis/Pars Planitis
- Lyme Disease
- Multiple Sclerosis
- Reactive arthritis
- Rheumatoid Arthritis
- Vogt-Koyanagi Harada Syndrome
Your Retina Consultants of Houston doctor will take a detailed history and perform a complete dilated eye exam. Additional testing, such as OCT and fluorescein angiography may also be done. Depending on what your doctor finds on examination, laboratory testing may also be ordered to help determine the cause of the uveitis.
Treatment and Prognosis
Any underlying conditions associated with the uveitis should be evaluated and treated appropriately. The inflammation from the uveitis may cause a wide range of complications, including eye pain, scar tissue formation, high eye pressure (glaucoma), and swelling in the retina (macular edema). Treatments are aimed at reducing or eliminating these complications.
Steroids, usually in the form of eye drops or injections in or around the eye, are commonly used to combat inflammation. In some cases, steroids may need to be surgically implanted in the eye or given orally. Eye drops that dilate the eye may also be used to alleviate pain and reduce scarring in the front of the eye. In advanced or refractory cases, such as posterior uveitis, patients may also need to begin long-term treatment with immunosuppressive medications. In these instances, your retina specialist will work closely with a rheumatologist to determine the best treatment while minimizing any side effects from the medication.
Please share any questions or concerns with your Retina Consultants of Houston physician.
Plan Your Procedure
Uveitis is one of the most common conditions treated at Retina Consultants of Houston. Our renowned experts, specialized in the area of uveitis treatment, take extreme care of each patient to help offer a proper diagnosis and effective treatment plan. If you have been diagnosed with uveitis or have symptoms, schedule an appointment with one of our Houston, TX retina centers to learn more about your condition and the treatment options available.