Logo Loading...
Iritis Treatment

Iritis Treatment In Trivandrum

Iritis is a type of uveitis, which refers to inflammation inside the eye. Specifically, iritis affects the iris, the colored part of the eye that controls pupil size. It can develop suddenly and is considered a serious eye condition because, if left untreated, it may lead to vision problems or permanent eye damage.

Symptoms and Causes

What are the symptoms of iritis?

Signs and symptoms of iritis include:

  • Redness of the eye.
  • Sensitivity to light (photophobia).
  • Eye pain.
  • Blurred or reduced vision.
  • Headache or brow pain.
  • Small or irregular pupil.
  • Excess tearing.

What causes iritis?

Iritis is inflammation of the iris, often related to immune reactions, infections, or eye injury. Identifying the cause helps guide treatment and reduce recurrence.

  • Eye Injury or Trauma: A blunt injury, penetrating trauma, or eye surgery can cause inflammation of the iris. Even minor trauma may lead to the delayed onset of iritis days or weeks later.
  • Infections: Certain infections can lead to iritis, including herpes simplex, herpes zoster (shingles), syphilis, tuberculosis, and Lyme disease. The infection may directly inflame the eye or trigger an immune response that affects the iris.
  • Genetic Factors (HLA-B27): Some people carry the HLA-B27 gene, which increases the risk of developing iritis, especially when associated with autoimmune spine or joint disorders.
  • Autoimmune and Inflammatory Diseases: Conditions such as ankylosing spondylitis, rheumatoid arthritis, lupus, sarcoidosis, and inflammatory bowel disease can trigger iritis. In these cases, the immune system mistakenly attacks healthy eye tissue, causing inflammation.
  • Medications and Toxins: Certain drugs or exposure to toxic substances may irritate the eye and provoke inflammation in rare cases.

Diagnosis of Iritis

An ophthalmologist will conduct a complete eye examination, which may include the following tests:

  • Eye Examination: An eye doctor examines the eye for redness, inflammation, and pupil changes.
  • Slit-Lamp Examination: A special microscope is used to closely view the iris and detect inflammatory cells in the front of the eye.
  • Medical History Review: The doctor asks about autoimmune conditions, infections, recent eye injuries, or medication use to identify possible causes.
  • Vision Test: Vision is tested to determine whether inflammation has affected visual clarity.
  • Eye Pressure Test: Eye pressure is measured because iritis can cause pressure levels to rise or fall.

Iritis risk factors

Factors that increase the risk of developing iritis include:

  • Weakened Immune System​ : Individuals with reduced immunity are more susceptible to inflammation and infection-related iritis.
  • Have a sexually transmitted infection: infections such as syphilis or HIV/AIDS are strongly associated with a higher risk of iritis.
  • Smoke tobacco​ : Research shows that smoking raises the risk of iritis and may worsen inflammation.
  • Have a specific genetic trait (HLA-B27) : People with this immune-related genetic variation are more likely to develop iritis, especially recurrent episodes.
  • Infections​ : Viral, bacterial, or fungal infections such as herpes or tuberculosis can lead to iritis.
  • Eye Injury or Surgery : Trauma or surgical procedures can trigger inflammation of the iris, sometimes even weeks after the injury.
  • Autoimmune Diseases: Conditions such as ankylosing spondylitis, rheumatoid arthritis, and lupus increase the risk because the immune system may mistakenly attack eye tissues.

Treatment options are available for iritis

Common treatments for iritis include:

Corticosteroid Eye Drops: Corticosteroid eye drops are used to reduce inflammation in the iris, relieving pain and redness. They are typically the first-line treatment for mild to moderate cases of iritis.

Dilating Eye Drops (Mydriatics): Dilating eye drops, or mydriatics, help relax the iris, prevent painful spasms, and lower the risk of adhesions forming between the iris and the lens.

Oral Corticosteroids: When inflammation is severe or affects large areas of the eye, corticosteroid pills may be prescribed. These work systemically to reduce inflammation that eye drops alone cannot control.

Immunosuppressive Medications: In cases where iritis is chronic, recurrent, or linked to autoimmune conditions, medications that suppress the immune system may be used. They help prevent the immune system from attacking the eye and reduce repeated episodes.

Treatment of Underlying Causes: Managing the root cause of iritis is crucial. This may involve treating infections, addressing autoimmune disorders, or controlling other systemic health conditions to prevent the inflammation from returning.

Supportive Care: Simple measures can help with comfort and recovery. Avoiding eye strain, protecting the eyes from bright light, managing pain as advised, and attending regular follow-up