Chronic uveitis

Is associated with pauci-articular juvenile rheumatoid arthritis. Most commonly seen in young girls (1).

The eye of chronic anterior uveitis is often white due to large, "mutton fat" keratic precipitates on the posterior surface of the cornea. There are numerous posterior synechiae and often, nodules consisting of clusters of white cells on the pupillary margin of the iris - Koeppe nodules and on the anterior surface of the iris (Busacca) (2,3). These are especially common in sarcoidosis.

Pain and photophobia are mild.

References:

1. Hajj-Ali RA et al. Uveitis in the internist’s office: Are a patient’s eye symptoms serious? Cleve Clin J Med. 2005;72(4):329-39
2. American Optometric association 2004. Care of the patients with anterior uveitis
3. Jackson TL. Moorfields manual of ophthalmology. 3rd ed. London: Jaypee Brothers Medical Publishers; 2019.