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Uveitis — an eyeglobe choroid inflammation. Anatomically the choroid of an eyeglobe is divided into an iris, a ciliary body and the idiovascular cover located behind a ciliary body and making nearly 2/3 choroids (actually covers a retina outside). Blood supply of an idiovascular cover is carried out by generally back short ciliary arteries, and an iris and a ciliary body - front and back long ciliary arteries, i.e. blood supply of these 2 departments comes from different sources therefore front and back departments of a choroid traditionally are surprised separately that served as the reason of division of uveites on front and back.

Uveitis symptoms:

Front uveitis (about 80% of patients with uveites):
Usually acute beginning, most often — unilateral (95% in case of the uveitis associated with presence at HLA-B27 blood)
Complaints — decrease in visual acuity and the pain in an eyeglobe amplifying at its palpation. The pericorneal or mixed injection, iris discoloration (greenish or rusty color, the drawing indistinct). Narrowing of a pupil of the affected eye, a pupil form wrong, the photoharmose is broken. Existence on a cornea endothelium (from an anterior chamber of an eye) polymorphic precipitated calcium superphosphates or exudate in an anterior chamber (hypopyon in case of purulent character of exudate, a hyphema in case of hemorrhagic), is probable emergence of back commissures of an iris (an union of the back plane of an iris with the front capsule of a crystalline lens). In certain cases commissures can cause a circular union of an iris and a crystalline lens that leads to fusion of a pupil and increase in intraocular pressure — develop secondary glaucoma and бомбаж irises (its protrusion in an anterior chamber of an eye in the form of the roller)
Manifestations of a basic disease as in case of an endogenous, and exogenous origin of a uveitis are possible.
Back uveitis. In view of a close prileganiye of a retina and frequent involvement it in inflammatory process put the term a chorioretinitis into practice. Beginning traditionally imperceptible. Decrease in visual acuity. Complaints — emergence of photopsias (flashes before eyes), metamorphopsias (distortion of a form of objects), a hemeralopia (a sight illegibility at bad lighting) at peripheral localization of process.
At a research of fields of vision — scotomas of various sizes (this method of a research does not demand participation of the qualified ophthalmologist, but allows to suspect a choroiditis).
Lack of pain is characteristic that considerably complicates diagnosis.
Intermediate uveitis — inflammatory infiltration of a vitreous, exudation and formation of the membranes which are partially covering a ciliary body. The symptomatology reminds that at back twine.
Laboratory researches are not specific (a disease polietiologichno). Find signs of a basic disease more often (laboratory indicators at collagenoses are most informative).

Uveitis reasons:

Frequency - 0,3 — 0,5 cases on 1 000 population, about 40% of cases of a uveitis arises against the background of a general disease. The prevailing floor: at front twine, Ag of HLA-B27 associated with presence at blood, men get sick more often (2,5:1).
- Viruses, bacteria, protozoa, fungi
- Immune factors — assume participation of autoimmune and immunocomplex mechanisms at diffusion diseases of connecting fabric
- Idiopathic reasons (about 25%). Genetic aspects. In 50 — 70% reveal Ag of HLA-B27 (at an ankylosing spondylitis, Rayter's diseases). Risk factors — diffusion diseases of connecting fabric, the centers of persistent infection.

Treatment of the Uveitis:

Mode. Urgent consultation of the ophthalmologist as quite often the uveitis quickly progresses with development of dangerous complications is necessary.
Front uveitis:
- Treatment of a basic disease.
- Antibacterial agents.
- Anti-inflammatory drugs: NPVS, glucocorticoids, cytostatics — depending on a uveitis etiology
- Prednisolonum acetate — on 2 drops of 1% of suspension in a sore eye at first in 4 h, and then, in process of improvement reducing a daily dose sodium Dexamethasone phosphate of 0,1% solution in eye drops.
- The medicinal tsikloplegiya interfering formation of back commissures of an iris and promoting a rupture of already educated
- Choice drugs: homatropine hydrobromide on 2 drops of 2% of solution in a sore eye 2 р / or at it is necessary for days budetst through in 3 h, Scopolaminum hydrobromide on 2 drops of 0,25% of solution to 3 р / days
- Alternative products: adrenaline, cocaine
- Administration of atropine is not recommended, especially at the expressed exudation.
- When subsiding inflammatory process — resorptional products in the form of an electrophoresis or a fonoforeza (enzymes).

Back uveitis:
- Treatment of a basic disease
- Antibacterial agents
- Anti-inflammatory drugs: NPVS, glucocorticoids, cytostatics — depending on a uveitis etiology.

Drugs, drugs, tablets for treatment of the Uveitis:

  • Препарат Бетаспан.


    Glucocorticosteroids for system use.

    JSC Pharmak Ukraine

  • Препарат Дексаметазона фосфат.

    Dexamethasone phosphate


    JSC Pharmak Ukraine

  • Препарат Эмоксипин.


    Antiagreganta. Antigipoksanta and antioxidants. Vasoprotectives, proofreaders of microcirculation.

    RUP of Belmedpreparata Republic of Belarus



    The means influencing the alimentary system and metabolic processes.

    CIAO Biofarm Ukraine


  • Препарат Вобэнзим.


    Immunomodulatory and anti-inflammatory drug.

    Mucos Pharma GmbH & Co (Mukos Pharm Gmbh and To) Germany

  • Препарат Метипред.



    CJSC Pharmfirma Soteks Russia


  • Препарат Офтамирин-Дарница.


    The drugs used in ophthalmology and otology. Antiedematous and other drugs for topical administration at nasal cavity diseases.

    CJSC Pharmaceutical Firm Darnitsa Ukraine

  • Препарат Кеналог®.



    Bristol-Myers Squibb Comp. (Bristol-Myers Skvibb Komp.) USA

  • Препарат Дексаметазон-Дарница капли.

    Deksametazon-Darnitsa drops

    The means operating on sense bodys.

    CJSC Pharmaceutical Firm Darnitsa Ukraine

  • Препарат Гидрокортизон.


    Glucocorticosteroid for topical administration.

    JSC Tatkhimfarmpreparaty Russia

  • Препарат Дексаметазо-Дарница раствор.

    Deksametazo-Darnitsa solution

    Drugs of hormones for system use.

    CJSC Pharmaceutical Firm Darnitsa Ukraine

  • Препарат Эмокси Оф.

    Emoks of Of

    The haemo static, antiallergic, reducing permeability of capillaries means.

    JSC Borisovsky Plant of Medical Supplies Republic of Belarus

  • Препарат Окомистин.


    Antiseptic agent.

    LLC Infamed Russia

  • Препарат Циклоспорин Гексал раствор.

    Cyclosporine Geksal solution

    Immunodepressive means.

    Hexal AG (Geksal AG) Germany

  • Препарат Полькортолон.



    ADAMED Group (Adamed Group) Poland

  • Препарат Дексаметазон Буфус 0,1%.

    Dexamethasone Bufus of 0,1%

    Glucocorticosteroid for topical administration.

    CJSC PFK Obnovleniye Rossiya

  • Препарат Гидрокортизон .


    GKS for topical administration in ophthalmology.

    JSC Sintez Russia

  • Препарат Лемод.



    Hemofarm, A.D. (A.D. Hemofarm) Serbia

  • Препарат Лемод.



    Hemofarm, A.D. (A.D. Hemofarm) Serbia

  • Препарат Диклофенак.


    Non-steroidal anti-inflammatory drug (NPVP).

    Federal State Unitary Enterprise Moscow Endocrine Plant Russia

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