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Ophthalmology General 0b20ab7f

A 25–year old male gives a history of redness, pain and mild diminished vision in one eye for past 3 days. There is also a history of a low backache for the past one year. On examination, there is circumcorneal congestion, the cornea is clear apart from a few fine keratic precipitates on the corneal endothelium, there are 2+ cells in the anterior chamber and the intraocular pressure is within normal limits. The patient is most likely suffering from –

A
Acute attack of angle closure glaucoma
B
HLA B–27 related anterior uveitis
C
JRA associated uveitis
D
Herpetic keratitis
High-Yield Explanation
Information in this question are :- Age → 25 years A low backache (most likely due to sacroiliitis) Circumcorneal congestion, KPs, aqueous cells (2 + cells in anterior chamber) Normal intraocular tension The diagnosis is anterior uveitis. A most common cause of anterior uveitis in young adults is HLA-B27 associated uveitis (ankylosing spondylitis). Low back pain (due to sacroiliitis) further supports the diagnosis.

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