Mon-Sat 10:00AM-08:00PM

Uveitis & Ocular Inflammation Evaluation



Services

Clinic Location

My Vision Eye Clinic
10/3, 2055, 1st Floor, opposite Fire Station, behind Anand Sweets,
Kaikondrahalli, Sarjapur Main Road,
Bengaluru, Karnataka – 560035

OPD Hours:
Monday – Saturday: 10:00 AM – 08:00 PM
Sunday: Closed

Payment Modes:
Cash, UPI, Credit / Debit Cards.
(Direct payment basis. Itemized receipts provided for personal reimbursement).

Expert Diagnosis for Uveitis & Painful Ocular Inflammation

A red, painful eye is often mistaken for a minor infection or surface allergy. However, when redness is accompanied by deep, throbbing eye ache, acute light sensitivity (photophobia), and blurred vision, it may indicate uveitis—an internal inflammation of the middle vascular coat of the eyeball (the uvea). Left untreated or improperly managed with over-the-counter eye drops, uveitis can rapidly lead to secondary glaucoma, cataracts, cystoid macular edema, or permanent vision loss.

At My Vision Eye Clinic on Sarjapur Main Road, Dr. Rinku Das (MBBS, MS Ophthalmology, FIAS, FIG) provides rigorous clinical evaluation and evidence-based therapeutic protocols for patients across Kaikondrahalli, Bellandur, Haralur, Kasavanahalli, and Southeast Bengaluru. Our priority is to rapidly quench inflammation, relieve pain, safeguard the optic nerve and crystalline lens, and investigate systemic root causes.

Understanding the Types of Uveitis

The uveal tract consists of three continuous structures: the iris (front), the ciliary body (middle), and the choroid (rear). Uveitis is classified anatomically based on the primary site of inflammation:

Anterior Uveitis (Iritis / Iridocyclitis)

The most common form, affecting the iris and ciliary body. Characterized by sudden redness around the cornea (ciliary flush), deep aching pain, marked photophobia, and constricted pupil. Requires immediate topical anti-inflammatory therapy.

Intermediate Uveitis (Pars Planitis)

Involves the vitreous humor and pars plana area. Often presents with gradual, painless onset of floating black spots, cobwebs, and blurred vision.

Posterior Uveitis (Choroiditis / Chorioretinitis)

Affects the choroid and adjacent retina. May cause significant vision loss, dark patches (scotomas), and retinal edema. Frequently linked to systemic autoimmune or infectious causes.

Panuveitis

Widespread, severe inflammation involving all three layers of the uveal tract simultaneously, requiring aggressive systemic and topical immunomodulatory management.

Diagnostic Protocol at My Vision Eye Clinic

Accurate diagnosis demands meticulous clinical evaluation under the slit lamp:

  • Slit-Lamp Flare & Cell Grading: Microscopic identification of white blood cells and protein leakage circulating in the anterior chamber fluid.
  • Keratic Precipitates (KPs): Examining cellular deposits on the inner endothelial surface of the cornea (granulomatous vs. non-granulomatous clues).
  • Iris Inspection: Checking for pupillary constriction, sluggish light reflexes, or posterior synechiae (inflammatory adhesions sticking the iris to the lens).
  • Tonometry: Precise intraocular pressure measurement to detect early uveitic glaucoma or hypotony.
  • Dilated Fundus Examination: Scrutinizing the vitreous, optic disc, and retina for choroidal lesions, vasculitis, or macular edema.
  • Targeted Systemic Workup: Recommending tailored blood tests (CBC, ESR, CRP, HLA-B27, ANA, Mantoux/TB gold, infectious panels) based on clinical patterns to identify underlying systemic conditions.

Principles of Medical Management

  • Targeted Topical Corticosteroids: High-potency anti-inflammatory drops prescribed in carefully monitored dosing schedules to extinguish intraocular inflammation without abruptly stopping (preventing rebound).
  • Cycloplegic Eye Drops: Drops (such as homatropine or cyclopentolate) that temporarily relax the ciliary muscle, relieving throbbing spasm pain and preventing iris-lens adhesions (synechiae).
  • Ocular Pressure Control: Adding IOP-lowering drops when secondary inflammatory pressure spikes occur.
  • Systemic Therapy & Physician Coordination: Working closely with rheumatologists and physicians when oral immunomodulators or specific anti-infectives (anti-tubercular, anti-viral) are required.

Frequently Asked Questions: Uveitis

Conjunctivitis is an inflammation of the superficial clear mucous membrane covering the white of the eye, typically causing discharge, grittiness, and pinkness without severe deep pain or vision loss. Uveitis is a far more serious internal inflammation of the uveal tract (iris, ciliary body, and choroid). Uveitis causes deep aching ocular pain, severe photophobia (intolerance to light), circumcorneal ciliary flush, and blurred vision. Uveitis requires urgent medical evaluation by an ophthalmologist to avoid permanent structural damage.

Uveitis can be triggered by autoimmune and systemic inflammatory conditions (such as ankylosing spondylitis, HLA-B27 associated syndromes, rheumatoid arthritis, sarcoidosis, or inflammatory bowel disease), infectious pathogens (herpes simplex, herpes zoster, tuberculosis, or toxoplasmosis), ocular trauma, or it may be idiopathic (occurring without an identifiable systemic trigger).

Uveitis can cause severe fluctuations in intraocular pressure (IOP). Inflammatory debris can clog the trabecular meshwork leading to secondary inflammatory glaucoma, or posterior synechiae (adhesions between iris and lens) can cause angle-closure attacks. Additionally, the topical corticosteroids used to control uveitis can induce a steroid-response IOP elevation in susceptible individuals. Dr. Rinku Das carefully tracks IOP during every follow-up visit.

Yes, non-infectious autoimmune uveitis has a tendency to recur periodically. Patients are educated on recognizing early signs—such as a mild deep ache or slight photophobia—so they can visit the clinic immediately rather than waiting for severe redness to develop. Never self-prescribe steroid eye drops without an examination.

All outpatient evaluations and tests operate on a direct payment basis via Cash, UPI, and Credit or Debit cards. My Vision Eye Clinic does not maintain cashless insurance tie-ups; however, we provide fully detailed, itemized clinical invoices and receipts containing diagnosis and doctor registration details so patients can submit them for personal medical insurance reimbursement.

Experiencing Deep Eye Pain or Severe Redness?

Do not delay care for acute ocular inflammation. Consult Dr. Rinku Das at My Vision Eye Clinic, Kaikondrahalli, Sarjapur Main Road (opposite Fire Station, behind Anand Sweets).


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