Inflammatory eye conditions

Uveitis & Scleritis

Inflammation that may affect different parts of the eye and requires targeted investigation rather than the same standard panel of tests for everyone.

Symptoms

Pain & photophobia

Extent

Anterior to posterior

Approach

Personalised

Dr Sofia Zogana examines ocular inflammation at the slit lamp

Targeted investigation

Ocular inflammation

Inflammation in different structures

Its location determines the presentation and the investigation.

Uveitis affects the uveal tract and, in many cases, neighbouring structures such as the vitreous, retina and optic nerve.

It may be associated with infections, autoimmune or other systemic disease, although in some cases no specific cause is identified.

Scleritis affects the sclera and is included in the same clinical group because of its marked inflammatory nature.

i

Investigation is targeted and personalised. There is no general laboratory “panel” that is mandatory for every patient.

Conditions covered

The location of inflammation changes the symptoms and findings.

Clinical classification helps guide investigation and follow-up.

01 / ANTERIOR

Front of the eye

Anterior Uveitis

It may cause pain, redness, photophobia and blurred vision.

  • Slit-lamp examination
  • Assessment of severity
  • Monitoring for recurrence

02 / INTERMEDIATE

Vitreous and adjacent structures

Intermediate Uveitis

It commonly presents with floaters and gradually blurred vision.

  • Vitreous assessment
  • Fundus examination
  • Targeted imaging

03 / POSTERIOR

Choroid and retina

Posterior Uveitis

It may cause floaters, blurring or distortion without marked pain or redness.

  • Fundus examination
  • OCT and imaging
  • Assessment of the functional effect

04 / EXTENSIVE

Multiple parts of the eye

Panuveitis

It affects several or all parts of the uveal tract and requires comprehensive investigation.

  • Close follow-up
  • Targeted systemic investigation
  • Multidisciplinary collaboration when required

05 / SCLERA

Deep or severe pain

Scleritis

Inflammation of the white outer coat of the eye, often with marked redness and tenderness.

  • Assessment of severity
  • Assessment for associated systemic disease
  • Prompt evaluation

Symptoms

Pain, photophobia and blurred vision require prompt assessment.

The absence of marked redness does not rule out posterior inflammation.

Does light cause significant discomfort?
Photophobia with pain, redness or new blurring should not be ignored.

01

Pain or deep discomfort

It may be severe or progressively worsen.

02

Marked redness

Particularly when accompanied by pain or tenderness.

03

Photophobia

Sensitivity to light that requires prompt assessment.

04

Blurred or reduced vision

A new functional change that requires evaluation.

05

New floaters

More common with intermediate or posterior inflammation.

06

Recurrent episodes

Repeated inflammation that requires broader investigation.

!

Pain, photophobia, marked redness or new blurred vision? Prompt ophthalmic assessment is required.

Call: +30 697 421 2356

Dr Sofia Zogana discusses symptoms of ocular inflammation with a patient

Clinical examination

Targeted investigation

Diagnosis & follow-up

There is no single standard assessment for every inflammation.

The history, anatomical location and clinical findings guide further tests and collaboration with other specialists.

01

Detailed history

Medical, ophthalmic and systemic history.

02

Slit-lamp examination

Detailed examination of the anterior segment.

03

Dilated fundus examination

Assessment of the vitreous, retina and optic nerve.

04

OCT & fundus imaging

Anatomical documentation and follow-up of the findings.

05

Targeted investigation

Laboratory tests, angiography, ultrasound or other imaging only when clinically indicated.

06

Multidisciplinary collaboration

A rheumatologist, physician, infectious-disease specialist or another specialty when required.

Management

Treatment guided by the cause, location and severity.

The plan may include local or systemic treatment, management of an underlying cause and regular follow-up.

01

Local treatment

Used for selected inflammation according to the clinical findings.

02

Systemic treatment

May be required depending on the location, severity and cause.

03

Treatment of the cause

Targets an infectious, autoimmune or other underlying factor when identified.

04

Close follow-up

Review for activity, recurrence and potential complications.

General drug regimens or treatment durations are not provided. Treatment is decided only after an individual medical assessment.

Frequently asked questions

Helpful answers.

General information that does not replace an individual medical assessment.

Does uveitis always have an identifiable cause?

No. It may be associated with an infection or systemic disease, but in some cases no specific cause is identified.

Does everyone need the same panel of tests?

No. Investigation is targeted and based on the history, anatomical location and clinical findings.

Can inflammation occur without severe pain?

Yes. Posterior inflammation may cause blurring or floaters without severe pain or redness.

Specialist assessment

Pain, photophobia, marked redness or new blurred vision?

Arrange prompt assessment for a targeted diagnosis and personalised follow-up plan.

Medical information notice

This content is provided for general information and does not replace an ophthalmic examination, diagnosis or personalised medical advice.