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Diagnostic testing is often required in uveitis work-up
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 Harvey S. Uy |
CHICAGO — Given the various presentations and causes of uveitis, eye findings alone may be insufficient to build a diagnosis, a speaker said here.
"It's very hard to make a diagnosis based on clinical findings alone in patients with uveitis," Harvey S. Uy, MD, said at Uveitis Subspecialty Day preceding the joint meeting of the American Academy of Ophthalmology and the Middle East Africa Council of Ophthalmology.
Beyond careful history taking, systemic reviews and ocular examination, diagnostic testing is more common in narrowing the uveitic differential than in other areas of ophthalmology, Dr. Uy said.
There are over 70 uveitic conditions, and while many are clinically diagnosed, diagnostic testing may be indicated in cases where there are three or more attacks, when there is systemic involvement, for granulomatous uveitis and when there is intermediate or posterior involvement, Dr. Uy said.
However, Dr. Uy said, gaps in diagnostic testing specificity and sensitivity limit their use as stand-alone discriminatory tools.
"Combining clinical data and multiple diagnostic test may be needed to diagnose difficult cases," Dr. Uy said.