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KMID : 0360219760170020235
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Journal of the Korean Ophthalmological Society
1976 Volume.17 No. 2 p.235 ~ p.240
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Anterior Uveitis and Ankylosing Spondylitis
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Oh Jung-Hyub
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Abstract
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Recently ankylosing spondylitis have been found to be the most common one among the joint diseases which is associated with anterior uveitis. About 10 to 6016 of patients with MarieStrumpells´ ankylosing spondylitis have anterior uveitis. Ankylosing spondylitis is mostly found in young male and characterized by makedly elevated sedimentation and radiological changes ; earliest finding in sacro-iliac joints are subchondral sclerosis or demineralization of the bone near the sacro-iliac joints. The joint margins gradually become less distinct until ankylosis devel ope. The vertebral bodies show "squaring" and the longitudinal ligaments show calcification and ossification on x-ray film (Bamboo spine). The uveitis associated with ankylosing spondylitis is a mild to severe non-granulomatous type (sometimes granulomatous) involving the anterior segment exclusively. Usually it affects one eye at a time. Recurrent attacks may lead to perma nent damage depending on the severity and frequency of the attacks and the adequacy of treatment. The main treatment is the administration of steroids.
A 35 year old man was seen in our clinic and found to have recurrent anterior uveitis with hypopyon in his right eye and ankylosing spondylitis while was confirmed by characteristic radiological findings.
Pathients with acute recurrent non-granulomatous iridocyclitis without apparent cause should have an x-ray of the lumbosacral spine and sacro-iliac joints.
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