Evaluation of corneal endothelium and keratic
precipitates by specular microscopy in anterior uveitis.
White fluffy keratic
precipitates and hypopyon can be seen at this stage.
Key Words: Herpes simplex, keratouveitis, keratic
The dramatic reduction in the number of keratic
precipitates with oral valacyclovir treatment confirmed this diagnosis.
In general, where there is unilaterally raised IOP, it is important to think of inflammation as a possible underlying cause, and so careful examination of the anterior chamber for evidence of cells/flare, old keratic
precipitates (Figure 4) and posterior synechiae is very useful.
At the slit lamp, are there signs of inflammation in the anterior segment (ciliary injection, keratic
precipitates, aqueous flare and cells) that might suggest an inflammatory condition?
0 Bacterial conjunctivitis as there is a rnuco-puruient discharge visible d) Anterior uveitis as there are keratic
38) Post-operative slit lamp examination of the anterior chamber should always be carried out to look for signs of uveitis, for example keratic
precipitates (Figure 3) and cells and flare should be graded accordingly.