Anterior Uveitis and Ankylosing Spondylitis.
- Author:
Hong Bok KIM
1
;
Jung Hyub OH
;
Ouk CHOI
Author Information
1. Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Adult;
Ankylosis;
Humans;
Iridocyclitis;
Joint Diseases;
Joints;
Longitudinal Ligaments;
Male;
Sclerosis;
Spine;
Spondylitis, Ankylosing*;
Steroids;
Uveitis;
Uveitis, Anterior*;
X-Ray Film
- From:Journal of the Korean Ophthalmological Society
1976;17(2):235-239
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently ankylosing spondylitis have been found to be the most common one among the joint diseases which is associated with anterior uveitis. About 10 to 60% of patients with Marie-Strumpells' ankylosing spondylitis have anterior uveitis. Ankylosing spondylitis is mostly found in young male and characterized by makedly elevated sedimentation and radiological changes; earliest finding in sacro-iliac joints are subchondral sclerosis or demineralization of the bone near the sacro-iliac joints. The joint margins gradually become less distinct until ankylosis develope. The vertebral bodies show "squaring" and the longitudinal ligaments show calcification and ossification on x-ray film (Bamboo spine). The uveitis associated with ankylosing spondylitis is a mild to severe non-granulomatous type (sometimes granulomatous) involving the anterior segment exclusively. Usually it affects one eye at a time. Recurrent attacks may lead to permanent damage depending on the severity and frequency of the attacks and the adequacy of treatment. The main treatment is the administration of steroids. A 35 year old man was seen in our clinic and found to have recurrent anterior uveitis with: hypopyon in his right eye and ankylosing spondylitis while was confirmed by char;acteristic radiological findings. Pathients with acute recurrent non-granulomatous iridocyclitis without apparent cause should have an x-ray of the lumbosacral spine and sacro-iliac joints.
