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May 1996

Uveitis and the Tower of Babel

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

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

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