On examination, one or more of the following findings may be observed in the anterior segment: episcleritis, scleritis, keratitis, anterior chamber cells, keratic
Caption: Figure 1: Small, discrete, round, well-defined, white keratic
precipitates on the cornea.
Ocular findings and complications in 67 eyes clinically diagnosed with herpetic anterior uveitis Findings/complications Number (%) of eyes Granulomatous keratic
precipitates 55 (82.2%) Corneal involvement 42 (62.6%) Iris atrophy [+ or -] transillumination 28 (41.7%) Transient IOP elevation 27 (40.2%) Pupil distortion without synechia 24 (35.8%) Posterior synechia 9 (13.4%) Permanent IOP elevation 8 (11.9%) Posterior subcapsular cataract 7 (10.4%) IOP: Intraocular pressure Table 2.
(5,9,10,11) Accordingly, cases exhibiting typically unilateral, chronic, low-grade anterior chamber reaction with varying degrees of vitreous opacity, widespread small- or medium-sized keratic
precipitates (KP) in the corneal epithelium, diffuse iris atrophy and/or heterochromia but without acute exacerbations, posterior synechiae or cystoid macular edema were clinically diagnosed with FUS.
As always, examination must begin at the front of the eye, ensuring there are no features of ocular inflammation, for example: conjunctival injection, keratic
precipitates, cells, posterior synechiae, iris transillumination defects or raised intraocular pressure.
PEK = punctuate epithelial keratopathy; EBMD = epithelial basement membrane dystrophy; KP = keratic
precipitates; IOP = intraocular pressure; POAG = primary open angle glaucoma.
Findings at presentation included small round white keratic
precipitates (KP), anterior chamber reaction, various degrees of vitreous cells, heterochromia and iris nodules.
Initial examination showed an isolated vascular tumor of the iris and ciliary body with anterior uveitis and mutton-fat keratic
precipitates, suggesting the diagnosis of a granulomatous disease.
Sometimes anterior chamber flare and cells Anterior Watery discharge, marked ciliary injection, fixed, uveitis mid-dilated pupil, anterior chamber flare and cells, keratic
precipitates, posterior synechiae.
It is a chronic, low-grade, mainly anterior uveitis with varied degree of vitreous opacities, characteristic diffusely spread small to medium sized keratic
precipitates (KPs), diffuse iris atrophy with or without obvious heterochromia and lack of posterior synechiae.
(5) The most common ocular manifestation is uveitis, with the posterior form being more common than the anterior form, the latter of which normally appears as an iridocyclitis associated with classic, granulomatous, mutton-fat keratic
precipitates, hypopyon and posterior synechiae.
On biomicroscopic examination, both eyes showed injected conjunctiva, corneal white ring infiltrates that matched the contours of corneal epithelial defects, white fluffy keratic
precipitates, and normal appearing iris and lens (Figure 5).