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Differential Diagnosis of Viral-Induced Anterior Uveitis
Authors:Lia Judice Relvas  Laure Caspers  Soon-Phaik Chee  Manfred Zierhut
Affiliation:1. Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, Bruxelles, Belgium;2. Department of Ophthalmology, CHU St-Pierre, Université Libre de Bruxelles, Bruxelles, Belgium;3. Singapore National Eye Centre, Singapore, Singapore;4. Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore;5. Duke-NUS Graduate Medical School, Singapore, Singapore;6. Department Ophthalmology, University of Tubingen, Tubingen, Germany
Abstract:Diagnosis of uveitis is often challenging, but can be easy in typical viral-induced anterior uveitis (VIAU). Associated symptoms and signs are an important source of information. Certain classical clinical features such as keratic precipitates (KPs) distribution, iris atrophy, elevated intraocular pressure (IOP), and unilaterality are commonly used to support the diagnosis of VIAU. However, many etiologies of anterior uveitis may to a certain extent mimic VIAU, especially the ones with unilateral granulomatous KPs and elevated IOP. This review begins with how the clinician can differentiate viral from nonviral anterior uveitis, and subsequently focuses on the key features which may aid in differentiating among the different viruses that cause VIAU.
Keywords:CMV  emerging  herpes  IOP  iris atrophy  keratic precipitates  rubella  uveitis  virus
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