Are vitreous cells found in anterior uveitis?
ADVERTISEMENT

Q. Can vitreous cells present in anterior uveitis patients?

Answered by
Dr. Vaibhev Mittal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 24, 2016 and last reviewed on: Jun 19, 2023

Hi doctor,

I was diagnosed with bilateral anterior uveitis two months back. I was put on Pred Forte. After 20 days of which only occasional AC cells were seen in right eye with no flare. Left eye was clear, but few mid vitreous cells were seen which were not present before. Hence, I was still on Pred Forte 2 times a day. A month back few vitreous cells were seen in right and left eye with no vitritis, no intraocular infection and no AC inflammation. Hence, everything was stopped. But, when I went again to the doctor, the following were the findings of my right eye. 1+ vitreous cell, with stable inflammation and shoe horse tear with minimal elevation which got treated by barrage laser. In left eye, there were traces of vitreous cells with no vitritis. Pred Forte was advised every fourth hourly for right eye. Can these vitreous cells be caused by anterior uveitis itself? As according to my doctor, I do not have vitritis too and I am consulting a uveitis specialist? Should I continue Pred Forte till all vitreous cells go away? Kindly help.

#

Hi,

Welcome to icliniq.com.

I think you have anterior uveitis in both eyes. Few vitreous cells can be present in anterior uveitis patient also. Usually, anterior uveitis is in one eye, but if bilateral we investigate them as it was done in your case. So, now you are HLA B27 positive (human leukocyte antigen). We usually treat patient with topical steroids if only anterior uveitis is there. Horse shoe tear was an incidental finding which was managed appropriately. To my opinion you are being treated adequately and efficiently. For vitreous cells we do not treat until and unless vision drops to less than 6/12.I hope this helps you.Regards.

Hi doctor,

Thanks for the reply.

The reason for this confusion is that I got my retinal tear treated by a retina specialist as advised by my doctor. The strange part is that he had written panuveitis in the right eye. I am confused whether I have intermediate and posterior uvietis too. When I reached my uveitis specialist he said that is not the case. Please clarify my doubt.

#

Hi,

Welcome back to icliniq.com.

Panuveitis means combination of anterior, intermediate and posterior uveitis. As you mentioned you have HLA B27 related uveitis, it is more common in anterior segment. Posterior segment involvement is rare. As I told you earlier, few vitreous cells are common in anterior uveitis, but that does not mean that you have intermediate uveitis. Moreover, guidelines suggest that for initiating treatment for intermediate uveitis (systemic steroids/sub-tenon injection) vision should be less than 6/12. If you are consulting with a uveitis specialist then I would suggest you to stick with the opinion of uveitis expert. I hope this helps you. Regards.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Dr.Pandurang Kulkarni

MS(Ophthalmology), Senior Resident (Vitreoretina & Uveitis), FAICO(Vitreous & Retina).,Vitreoretinal Surgeon & Uveitis Specialist   Read full

From the scan report, please explain the cause of my low back pain.

.. joints show minimal linear hyperintensity on STIR (short TI inversion recovery) sequence (attachment removed to protect patient identity). It is mild edema and not the usual findings which are seen in inflammatory spondyloarthropathy.   Read full

Can vitreous cells present in anterior uveitis patients?

.. you have anterior uveitis in both eyes. Few vitreous cells can be present in anterior uveitis patient also. Usually, anterior uveitis is in one eye, but if bilateral we investigate them as it was done in your case.   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask an Eye Care Ophthalmologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.