Which physical exam findings are characteristic of uveitis?

Updated: Jan 15, 2019
  • Author: Monalisa N Muchatuta , MD, MS; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Physical examination findings are as follows:

  • Lids, lashes, and lacrimal ducts are normal.
  • Conjunctival examination reveals 360° perilimbal injection, which increases in intensity as it approaches the limbus; this is the reverse of the pattern seen in conjunctivitis, in which the most severe inflammation occurs at a distance from the limbus.
  • Visual acuity may be decreased in the affected eye.
  • Extraocular movement is generally normal.
  • Pupillary examination may reveal direct photophobia when the light is directed into the affected eye, as well as consensual photophobia when light is directed into the uninvolved eye; consensual photophobia is typical of iritis, whereas photophobia due to more superficial causes, such as conjunctivitis, is direct but not consensual.
  • Pupillary miosis is common.

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