BOF: 71
A 25-year-old male who is known to have ankylosing
spondylitis presents with a painful, aching, photophobic red eye. Examination
shows cells floating in the anterior chamber and precipitated on the back of
the cornea. In this patient treatment should be commenced with:
a)
High dose oral steroids
b)
Broad spectrum antibiotics
c)
Local steroids
d)
Local steroids and dilator
e)
Local steroids and a constrictor
Answer:
d)
The patient has anterior uveitis. Treatment should be
with local steroids and a dilator to break adhesions to the lens and allow the
iris to remain mobile.
Ankylosing Spondylitis
