ABSTRACT

Intermediate uveitis is said to be present when the primary focus for the inflammation is in the ciliary body and anterior vitreous. All cases of anterior uveitis should be dilated and the entire posterior segment, including the anterior vitreous and posterior retina, examined carefully for signs. While anterior uveitis presents with predictable photophobia, blur and pain which usually prompt the patient to seek help shortly after the condition starts, intermediate uveitis is more likely to present with gradual blurriness and increasing floaters. A fundus fluorescein angiogram is not usually very useful with intermediate uveitis, unless the diagnosis is in doubt or if peripheral ischaemia is a factor and laser therapy is planned. With infectious conditions it is better to ask the treating physician when it is safe to institute systemic immunosuppressant medication, though by and large this is a problem with tuberculosis rather than syphilis or Lyme.