uveitis_classification

Classification of Uveitis

(Standardization of Uveitis Nomenclature (SUN) working group scheme)

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
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
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)
Category Descriptor Comment
OnsetSudden
Insidious
DurationLimited≤3 months duration
Persistent≥3 months duration
CourseAcuteEpisode of sudden onset and limited duration
RecurrentRepeat episodes separated by periods of inactivity without therapy ≥3 months duration
ChronicPersistent with relapse <3 months after discontinuing therapy
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
Grade Descriptors
0No 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+
Term Definition
InactiveGrade 0 cells (in anterior chamber)
Worsening activity2-step increase in level of inflammation (i.e., anterior chamber cells, vitreous haze or increase from grade 3+ to 4+)
Improved activity2-step decrease in level of inflammation (i.e., anterior chamber cells, vitreous haze or decrease to grade 0)
RemissionInactive disease for ≥3 months after discontinuing all therapy for eye disease

The Standardization of Uveitis Nomenclature (SUN) Working Group. Am J Ophthalmol 2005;140:509-516

  • uveitis_classification.txt
  • Last modified: 2021/01/25 21:37
  • by oculoman