Venkatesh Eye Hospital

Immunology Uvea

What is Immunology & Uvea ?

The uvea is the middle layer of the eye, made up of the iris, ciliary body, and choroid. It is rich in blood vessels and can be affected by various immune-mediated disorders, resulting in inflammation or damage that can threaten vision.

Causes of Uveal Disorders:
  • Autoimmune diseases (e.g., sarcoidosis, Behçet’s disease, Vogt-Koyanagi-Harada syndrome)

  • Infectious causes (e.g., tuberculosis, syphilis, toxoplasmosis)

  • Systemic inflammatory conditions

  • Idiopathic (unknown origin)

  • Post-surgical or post-traumatic inflammation

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Diagnosis:
  • Comprehensive slit-lamp examination

  • Dilated retinal exam to check posterior uvea (choroid)

  • Ocular imaging (OCT, Fundus Fluorescein Angiography, Indocyanine Green Angiography)

  • Ultrasound biomicroscopy (UBM) for ciliary body evaluation

  • Blood tests and imaging to identify systemic associations

  • Interdisciplinary evaluation with immunologists or rheumatologists

Treatment:
  • Topical, periocular, or systemic steroids to reduce inflammation

  • Immunomodulatory therapy (IMT) in chronic or recurrent cases

  • Biological agents (like anti-TNF drugs) in severe autoimmune cases

  • Antibiotics/antivirals if infections are involved

  • Surgical intervention for complications (glaucoma, cataract, retinal involvement)

Our Facilities:
  • Dedicated Uvea & Immunology Clinic

  • Advanced imaging: OCT, FFA, UBM, ICG angiography

  • In-house laboratory diagnostics for infections and autoimmune panels

  • Integrated care with rheumatology and general medicine

  • Long-term follow-up and customized treatment planning

  • Patient counseling and support for chronic disease management

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