Acessibilidade / Reportar erro

Importance of the speed of the cellular movement in the anterior chamber in the clinical evaluation of uveitis

Purpose: To add for the ophthalmologist an element for clinical evaluation of uveitis, affecting the anterior segment; contributing both to reveal the intensity of the inflammatory process and helping to guide the therapeutic management conduct. Methods: We studied 46 uveitis patients with cellular reaction in the anterior chamber. We observed the speed of the displacement of the cells in the aqueous humor and related it to the intensity of the inflammatory process, in comparison with the symptomatology and main clinical signs. Results: The results showed that there is an inverse correlation between the speed of cells in the anterior chamber and the degree of inflammation. The more serious was the inflammation, the less was the displacement of the cells. And we can apply this fact to the clinical evaluation of uveitis. In some situations it was easier to notice alterations in the speed of the cells than in the amount of cells or flare. Conclusions: Our study presents a new element in the semiology of uveitis, since we did not find references in the medical literature. On familiarizing with the speed of the cell movements in the anterior chamber, we may have a valuable resource that helps us in the patient's examination of uveitis. In some cases the change in the speed is the only element in-dicating a worsening or improvement in the clinical course.

Uveitis; Diagnosis of uveitis; Cells in anterior chamber; Examination of uveitis; Cellular movement


Conselho Brasileiro de Oftalmologia Rua Casa do Ator, 1117 - cj.21, 04546-004 São Paulo SP Brazil, Tel: 55 11 - 3266-4000, Fax: 55 11- 3171-0953 - São Paulo - SP - Brazil
E-mail: abo@cbo.com.br