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Understanding iritis

Inflammation inside the eye.

Iritis is inflammation of the colored part of your eye. It causes pain, redness, and light sensitivity β€” and it responds well to prompt treatment with steroid drops.

Here's the plan β€”
and why it works.

Mainstay

Topical steroid drops

Prednisolone acetate 1% drops, often hourly at first, calm the inflammation. We taper slowly over weeks β€” stopping too soon causes rebound.

Comfort

Dilating drops

A dilating drop your eye doctor prescribes can relieve the painful ciliary spasm, and prevents the iris from sticking to the lens (posterior synechiae).

Workup

Searching for the cause

First episodes are usually treated symptomatically. Recurrent or bilateral iritis warrants a workup for ankylosing spondylitis, sarcoidosis, infection, and other systemic conditions.

Refractory

Systemic treatment

Severe, chronic, or autoimmune-driven cases may need oral steroids or longer-term immunomodulators β€” managed by a uveitis specialist.

Same-week exam if

You develop eye pain, redness, and light sensitivity that doesn't clear in 24-48 hours β€” and especially if you have these symptoms with a history of back pain (possible ankylosing spondylitis) or autoimmune disease.

Honest answers to common questions.

Is this contagious?+

Not typically. Most cases are autoimmune or idiopathic β€” not infectious. Infectious causes do exist (herpes, syphilis, toxoplasmosis) and are part of the workup in recurrent cases.

Why do I need so many drops?+

Iritis responds to drops in proportion to how often they're used. Hourly drops in the first days bring the inflammation under control; under-dosing prolongs the episode.

Can I stop drops once I feel better?+

No β€” abrupt stopping causes a rebound flare. Your eye doctor will taper the drops slowly over several weeks, sometimes longer.

Will it come back?+

Recurrence is common β€” about 1 in 3 patients have a second episode. After 2 or more episodes, your eye doctor will work with you to find any underlying cause and a long-term plan.

Will it damage my vision?+

Treated promptly, iritis usually leaves no lasting effect. Long-standing or repeated inflammation can cause cataract, glaucoma, or macular swelling β€” which is why we treat early.