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Important Classifications in Ophthalmology

 


Standardization of Uveitis Nomenclature

 

Type

Primary Site of Inflammation

Includes

Anterior uveitis

Anterior chamber

Iritis
Iridocyclitis
Anterior cyclitis

Intermediate uveitis

Vitreous

Pars planitis
Posterior cyclitis
Hyalitis

Posterior uveitis

Retina or choroid Focal

Focal, multifocal, or diffuse choroiditis
Chorioretinitis
Retinochoroiditis
Retinitis
Neuroretinitis

Panuveitis

Anterior chamber, vitreous, and retina or choroid

 

 

Category

Description

Comment

Onset

Sudden
Insidious

 

Duration

Limited

≤3 months duration

Persistent

> 3 months duration

Course

Acute

Episode characterized by sudden onset
and limited duration

Recurrent

Repeated episodes separated by periods of inactivity without treatment ≥3 months in duration

Chronic

Persistent uveitis with relapse in< 3 months after discontinuing treatment

 

Term

Definition

Inactive

Grade 0 cells

Worsening activity

Two step increase in level of inflammation (e.g. anterior chamber cells, vitreous haze) or increase from grade 3+ to 4+

Improved activity

Two step decrease in level of inflammation (e.g. anterior chamber cells, vitreous haze) or decrease to grade 0

Remission

Inactive disease for > 3 months after discontinuing all treatments for eye disease

Reference:Standardization of Uveitis Nomenclature for Reporting Clinical Data. Results of the First International Workshop. Am J Ophthalmol 2005;140:509–516, 2005