Opthal: Acute Iritis: Free MSRA Podcast

🎧MSRA Deep Dive: AcuteIritis (Anterior Uveitis)Suddenpainful red eye? Blurred vision? Sensitivity to light? 🚨 Let’s break down one of the most tested ophthalmology topics for theMSRA: acute iritis, also known as anterior uveitis.In this episode, wecover everything you need to know in a concise, high-yield format perfect forfast revision — or helping a patient in clinic. Get the essential facts,mnemonics, red flags, and NICE-aligned management steps all in one go. 🧠Core Learning Points📌DefinitionAcute iritis = inflammation of the anterior uveal tract (iris + ciliary body)Most common type of uveitisRapid onset (within hours–days)📌Symptoms🔺 Painful red eye🔺 Photophobia (light sensitivity)🔺 Blurred vision🔺 Watery eye, no discharge🔺 Usually unilateral📝Mnemonic: PURRPainful red eyeUnilateralReduced visionReaction to light📌Differentials to RuleOut🌫️ Conjunctivitis – itchy, gritty, sticky discharge🌈 Acute angle closure glaucoma – severe pain, halos, vomiting, firm eye🌊 Keratitis – corneal damage🧠 Posterior/Intermediate/Pan-uveitis – different ocular zones📌Causes🔹 Idiopathic (most common)🔹Autoimmune diseases:Ankylosing spondylitisReactive arthritisPsoriatic arthritisIBD (Crohn’s/UC)🔹 Infections: HSV, TB, syphilis, HIV🔹 Trauma or post-op🔹 HLA-B27 associated (↑ risk)📌Investigations🧪Slit lamp exam – shows cells & protein flare in anteriorchamber📏 Check intraocular pressure (to exclude secondaryglaucoma)🧬 Bloods if: recurrent, bilateral, systemic symptomsHLA-B27ESR/CRPAutoimmune panel🩻 Chest X-ray – if sarcoidosis/TB suspected📌Management💧Topicalcorticosteroids (e.g. prednisolonedrops) – reduce inflammation💧Cycloplegic drops (e.g. atropine) – dilate pupil, reduce pain &prevent synechiae📉IOP-lowering drops – if raised pressure📅 Taper steroids over 6+ weeks🔁 Regular follow-up to prevent complications📌Complications🚨 Posterior synechiae (iris sticking to lens)🚨 Secondary glaucoma🚨 Cataracts (from inflammation/steroids)🚨 Chronic uveitis or vision loss (if not treated)📌Prognosis👍 Excellent with prompt treatment⚠️ Risk of recurrence (especially in HLA-B27+)🩺 Long-term follow-up often needed💡Patient TipsDon’t drive if vision is affectedStick to prescribed drop regimenSeek help quickly for any return of symptoms 📚Useful MSRA Resources– Acute Iritis📄 Revision Notes:https://www.passthemsra.com/topic/anterior-uveitis-revision-notes/🧠 Flashcards:https://www.passthemsra.com/topic/anterior-uveitis-iritis-flashcards/💬 Accordion Q&A:https://www.passthemsra.com/topic/anterior-uveitis-accordion-qa-notes/🚀 Rapid Quiz:https://www.passthemsra.com/topic/anterior-uveitis-rapid-quiz/🧪 Quiz link:https://www.passthemsra.com/quizzes/acute-iritis/ 🎙️ #MSRA #MSRARevision #AnteriorUveitis #AcuteIritis#MSRAFlashcards #MSRAQuiz #Ophthalmology #EyePain #Photophobia #HLA-B27#PassTheMSRA #FreeMSRA #Uveitis #SlitLamp #MedicalRevision