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May 1996

Uveitis and the Tower of Babel

Author Affiliations

Portland, Ore; Los Angeles, Calif

Arch Ophthalmol. 1996;114(5):604-605. doi:10.1001/archopht.1996.01100130596018

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The ANATOMICAL description of uveitis is the cornerstone of the process of differential diagnosis. This is especially well illustrated in the report by Rodriguez and colleagues1 in this issue of the Archives. Seronegative spondyloarthropathy, for example, accounts for 28% of the patients in this series with anterior uveitis, but spondyloarthropathy is not among the associations with posterior uveitis. To classify uveitis accurately, we require a vocabulary that permits a precise designation as to where inflammation exists.

To determine if this vocabulary is shared, we surveyed members of the American Uveitis Society. Case vignettes were provided and members were asked to select from a list of anatomical terms that included iritis, anterior uveitis, iridocyclitis, vitritis, pars planitis, intermediate uveitis, peripheral uveitis, posterior uveitis, retinal vasculitis, retinitis, chorioretinitis, or retinochoroiditis. Respondents were asked to designate each term as preferred, acceptable, or unacceptable.

See also page 593

Several of these vignettes clearly

Rodriguez A, Calonge M, Pedroza-Seres M, et al.  Referral patterns of uveitis in a tertiary eye care center . Arch Ophthalmol . 1996;114:593-599.Article
Malinowski SM, Pulido JS. Goeken NE, Folk JC.  The association of HLA-B8, B51, DR2 and multiple sclerosis in pars planitis . Ophthalmology . 1993;100:1199-1205.Article
Bora NS, Gobleman CL, Cirrito TP, et al.  Correlation of serum and plasma P-36 with active pars planitis . Invest Ophthalmol Vis Sci . 1993;34:973. Abstract.
Henderley DE, Genstler AJ, Smith RE, Rao NA.  Changing patterns of uveitis . Am J Ophthalmol . 1987;103:131-136.
Darrell RW, Wagener HP, Kurland LT.  Epidemiology of uveitis: incidence and prevalence in a small urban community . Arch Ophthalmol . 1962;68( (10) ):100-112.Article