ABSTRACT

Posterior uveitis is uveitis which is accompanied by changes to the fundus and in which the source of the inflammation is the retina or choroid. What can confuse the matter is that certain forms of posterior uveitis are very aggressive and can rapidly spread to a full panuveitis where pain and photophobia then become an issue, although the condition may have started as a posterior uveitis. Toxoplasma chorioretinitis can cause a severe posterior uveitis which in some cases can be sight threatening. A patient with posterior uveitis with spots should be asked about respiratory, joint and skin issues and if any exist a letter sent to the relevant specialty and a chest x-ray organised along with a serum angiotensin-converting enzyme. A fundus fluorescein angiogram should be considered in all patients with posterior uveitis not so much for diagnostic value but to assess and plan laser treatment for areas of ischaemia.