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Uveitis: an inflamed red eye

The uvea is the highly vascular middle layer of the eye. Its inflammation, uveitis, may cause a red, painful eye, sometimes only floaters or reduced vision. It requires a specialist opinion and assessment.

How to recognise it

Red eye, pain, light sensitivity, declining vision, sometimes “floaters” (posterior uveitis). It differs from conjunctivitis through pain, photophobia and the absence of discharge (see red eye).

Causes

Many cases of uveitis have no identified cause. Others are linked to a systemic inflammatory disease (spondyloarthritis, Crohn's disease, sarcoidosis…), an infection (herpes, toxoplasmosis, tuberculosis, syphilis) or injury. The assessment is tailored to each form, in collaboration with your usual doctor (médecin traitant) and other specialists.

Treatment

Depending on the location: anti-inflammatory eye drops (corticosteroids) and pupil-dilating drops, injections or tablets, and treatment of the cause. Complications to monitor include cataract, glaucoma and macular oedema: follow-up is therefore frequent and continues after the episode.

Why you should not wait

Untreated uveitis can leave lasting damage. A painful red eye, reduced vision or discomfort in light should prompt a consultation without delay.

Frequently asked questions

Can uveitis recur?

Yes, some forms tend to recur. Appropriate treatment and regular follow-up reduce the risk of complications.

Is a blood test needed?

Often, depending on the form and medical history; your doctor decides which examinations are useful.

Are corticosteroid eye drops dangerous?

They are effective but require monitoring of eye pressure; use them only on prescription.

Learn more

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In the event of sudden loss of vision or pain, see eye emergencies.

A question about your situation?

Your ophthalmologist answers your questions during the consultation. For a sudden symptom or sudden loss of vision, seek advice promptly: see the eye emergencies page.

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