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Question: What is traumatic iritis, and how do you treat it?
Answer: This is an inflammation inside the eye that occurs after blunt trauma. By iritis, we mean that the iris is inflammed. Some people more accurately call this an iridocyclitis, meaning both eye iris and the underlying ciliary body are inflammed.
However you call it, what this generally means is there is some inflammation and sensitivity of the anterior structures inside the eye. This can cause low grade irritation and photophobia (sensitivity to light). This light sensitivity occurs because the iris wants to constrict with light … and if the iris is inflammed, it hurts.
We generally treat iritis with:
1. A steroid like prednisolone acetate (Pred Forte) to decrease inflammation
2. A cycloplegic like cyclogyl that will dilate the pupil and paralyze the ciliary body so that they don’t spasm with light exposure.
A moderatly-long acting cycloplegic has another positive affect in that it keeps the inflammed, “sticky” iris from adhearing to the underlying lens.
Comments and Feedback
11 Comments
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Hi my name is Kyle, and Im from Northwest ohio. Six years ago I was hit in my left with a softball, and went partially blind in that eye from the blunt force trauma. My pupil stays dialated, and have a red blind spot in the center of my vision. My question is if there is anything out there to treat this as with a surgical preceduure at least to my pupil dialating again.
thanks Kyle
Comment by Kyle Krotzer — December 14, 2008 @ 12:20 pm
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due to the blunt trauma, your iris (your eye color that controls the pupil size) had likely sustained damage. more particularly, the sphincter, which is the muscle in the iris responsible for constricting it, might have suffered some permanent injury and therefore possibly caused irreversible dilation. as a result, you may suffer symptoms of glare and photophobia aside from the apparent iris ‘deformitity’. honestly, i believe most ophthalmologist will not attempt surgical correction as this is more of a cosmetic concern, and surgery will likely achieve poor if not neglible results, especially since its been six yrs since the accident. if you are very concern with the appearance of your pupil, then your best bet is to try tinted contact lenses, with either a general tint or an artificial pupil, to mask the prob.
in addition, i hope you had followed up with an optometrist or ophthalmologist after the blunt trauma and addressed the red blind spot as this is obviously not normal. if not, then it is imperative that you see your eye dr soon b/c this red spot might turn out to be something (such as a retinal detachment) that can lead into further vision loss.
hope this helps.
thanks, la
Comment by l, od — January 30, 2009 @ 9:08 pm
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My name is Chase, I got hit in the eye three days ago by a racquetball. It hit me so fast and unexpectly that I could not get my eye closed. It knocked my Contact out and I had a black spot for about 60 seconds that went away and I found my contact and made it to the locker room where I put an eye drop in and put my lens back in and drove home. The next morning my eye felt like a sore muscle and after I was awake and blinked for a while the pain went away. Today is Saturday and and it happened Wednesday. When i woke up for work the light in my bathroom killed my eye and all morning the light has been killing my eye. I just took my contact out and its feeling a little better but I have been wearing my shades even inside. What should I do. I dont have insurence and dont want to go to the doctor. Thanks.
Editors Note: If you have any change in your vision, or discomfort to the eye, or visual side effects … you should go to the eye doctor (an ophthalmologist may be most appropriate given the nature of the injury). You may have a case of traumatic iritis that needs to be treated. A dilated exam might be a good idea as well … though extremely unlikely, impacts to the eye can create a small retinal tear, so warrants a checkup.
Comment by Chase — May 2, 2009 @ 10:02 am
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my son and his friends are cycling across the country, and having fallen one of the guys has traumatic iritis, he has been given steroids for the treatment but we need to know if it is ok to continue the cycle ride , many thanks.He does not have blurred vision.
Comment by Andy Woodward — July 9, 2009 @ 4:20 pm
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My right eyes was hit about 15 years ago by a belt’s buckle. left my eye some rednes, if accidently rub. will caused irritation.
What sort of treatment should I get or is it permanent redness and can’t be removed?
Comment by Zul — September 27, 2010 @ 3:08 am
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10 days back my left eye hardly hit by shuttlecock (badminton) and that day onwards my left eye is blurred. The same day I went to ophthalmologist and he prescribed PRED FORTE and HEMASOL eye drops, still I am applying those eye drops. But still my vision (left eye)is blurred. Whether the blurring is due to eye drop OR is it a permanent vision loss? Pls advise. Thanks
Comment by Matti — October 12, 2010 @ 3:01 am
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Hi There! i was hit by a softball on my left eye as well but just 2 months ago and i am suffering from a blunt trauma. The opthalmologist also prescribed me Pred Forte and Hemasol eye drops for my condition. Currently i have stopped using the Hemasol eyedrops and the Pred Forte just once a day. However, my vision is still relatively blur due to the pupil not being able to shrink to the similar size as my other eye. What can i do make my left eye’s pupil shrink to it’s normal size just as how it should on my right eye?
Comment by Alvic — December 4, 2010 @ 12:15 pm
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About a year ago I was treated by a chiropactic doctor. He twisted my neck on one of my office visit without warning or consent. I was in the emergency room two days later. with iritis and pressure. I have suffered with this for the past year. I have taken steroids for the same amount of time. I also have constant back pain. Do you know if twisting of the neck can cause eye problems and back problems?
Comment by Penny Burkett — January 6, 2011 @ 1:41 pm
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My left eye has been irritated since cataract surgery in November, 2010. I have been using prednisolone drops and Xibrom. My doctor now says I have Iritis. Light is very painful into either eye. Keeping both eyes covered tightly gives relief and allows me to use fewer drops, but is not practical in the long term. My surgeon commented that my pupil was very small. Perhaps he had to manipulate it to a degree that trauma was experienced. What treatment should I seek to cure this condition?
Comment by Linda Fairbanks — February 26, 2011 @ 11:15 am
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my right eye has a very bad vision i cant really see properly it is very blury i want to get information on wat can help my eye to get good vision
Comment by ruhullah — August 5, 2011 @ 10:46 am
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my son got hit in the eye today friday whith his i.d that he hangs in his neck and his eye got red and was hurting its not res anymore and doesnt hurt,but he sees a little differenti guess blurry what we are worried is that his pupil is smaller than the other eye it seems to be getting a little bigger but very slow is that normal?
Comment by maricela luna — September 2, 2011 @ 8:35 pm
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