====== Classification of Uveitis ====== (Standardization of Uveitis Nomenclature (SUN) working group scheme) ===== Anatomic Classification ===== ^ Type ^ Primary Site of Inflammation ^ Includes ^ | Anterior | Anterior Chamber | Iritis, Iridocyclitis, Anterior cyclitis | | Intermediate | Vitreous | Pars Planitis, Posterior cyclitis, Hyalitis | | Posterior | Retina or Choroid | Focal, multifocal or diffuse choriditis; Chorioretinitis; Retinochoroiditis, Retinitis, Neuroretinitis | | Panuveitis | Anterior Chamber, Vitreous, and Retina or Choroid | | ===== Grading of Anterior Chamber Cells ===== ^ Grade ^ Cells in 1mm x 1 mm slit beam ^ | 0 | <1 | | 0.5 + or Trace | 1-5 | | 1+ | 6-15 | | 2+ | 16-25 | | 3+ | 26-50 | | 4+ | >50 | ===== Grading of Anterior Chamber Flare ===== ^ Grade ^ Description ^ | 0 | None | | 1+ | Faint | | 2+ | Moderate (iris and lens details clear) | | 3+ | Marked (iris and lens details hazy) | | 4+ | Intense (fibrin or plastic aqueous) | ===== Descriptors of Uveitis ===== ^ Category ^ Descriptor ^ Comment ^ |Onset|Sudden| | |:::|Insidious| | |Duration|Limited|≤3 months duration| |:::|Persistent|≥3 months duration| |Course|Acute|Episode of sudden onset and limited duration| |:::|Recurrent|Repeat episodes separated by periods of inactivity without therapy ≥3 months duration| |:::|Chronic|Persistent with relapse <3 months after discontinuing therapy| ===== Grading Vitreous Cells ===== ^ Grade ^ Number of Vitreous cells ^ | 0 | No cells | | 0.5+ or trace | 1-10 | | 1+ | 11-20 | | 2+ | 21-30 | | 3+ | 31-100 | | 4+ | >101 | ===== Grading Vitreous Flare ===== ^ Grade ^ Descriptors ^ |0|No inflammation present| |0.5+|Trace inflammation present (slight blurring of optic nerve margins, normal striations and reflex of nerve fiber layer cannot be visualized)| |1+|Mild blurring of the optic nerve and retinal vessels| |2+|Optic nerve visible, borders blurred markedly| |3+|Optic nerve head not visible| |4+| | ===== Activity of Uveitis ===== ^ Term ^ Definition ^ |Inactive|Grade 0 cells (in anterior chamber)| |Worsening activity|2-step increase in level of inflammation (i.e., anterior chamber cells, vitreous haze or increase from grade 3+ to 4+)| |Improved activity|2-step decrease in level of inflammation (i.e., anterior chamber cells, vitreous haze or decrease to grade 0)| |Remission|Inactive disease for ≥3 months after discontinuing all therapy for eye disease| ===== Reference ===== The Standardization of Uveitis Nomenclature (SUN) Working Group. [[http://www.ajo.com/article/S0002-9394(05)00407-1/fulltext|Am J Ophthalmol 2005;140:509-516]] {{tag>jia}}