Vision is a critical feeling for a person, because any problems with the eyes always bring to the person a serious discomfort. Especially distinguished are various inflammatory processes, which can lead to serious problems with the eyes, and in the worst case, even to deprivation of vision. An example of an inflammatory problem that develops against the background of another, uveitis, is the so-called Fuchs syndrome. Let us consider in more detail what it is and what to do if the problem has appeared.
- 1Definition of disease
- 4Possible complications
5Diagnosis and treatment
Definition of disease
Fuchs syndrome, also known as Fuchs' heterochromic cyclilum, is a progressively developing chronic anterior non-granulomatous uveitis, that is inflammation of the choroid of the eye.In young people, the problem most often affects only one eye, in children, pathology is also diagnosed and rarely bilateral. There may be heterochromia, but often it is absent or simply difficult to determine, especially in patients with brown eyes.
The disease occurs in about 4% of all suffering from uveitis, but it is very often misdiagnosed. To avoid this, you need to diagnose only with the dilated pupil and in daylight.
The reasons for Fuchs's symptom are not yet fully understood and studied.There is an opinion that this is the reaction of the eye tissues to the various inflammatory processes that occur in the body, but there is as yet no exact and scientifically reliable confirmation.
The key symptom of this syndrome is the heterochromia of the iris. This is manifested, among other things, in the fact that the iris of the affected eyeball appears lighter.
In contrast, patients with light eyes may exhibit reverse heterochromia.
As the problem develops, other symptoms may manifest, in particular, clouding in front of the eyes, formation on the anterior part of the iris(the so-called Russell's body), pigmentation disorders, and more.
- If uveitis develops against the background of Fuchs syndrome, then chances are high that it will go to a chronic stage.Also, if treatment with corticosteroid hormones is not sufficiently rational, then cataracts or glaucoma may occur, which, in turn, may have their complications.
- Glaucoma usually follows a long illness- and it, if it develops particularly negatively, can lead to loss of vision.
- Cataractcan complicate the course of the disease.The situation will improve after surgery, but the risk of developing a hyphema is not ruled out.
- Developed mydriasis or permanently dilated pupilsdue to atrophy of the muscles of the cornea.
Diagnosis and treatment
To diagnose Fuchs syndrome, the following methods are used:
- Visometry or definition of visual acuity.
- Tonometryor measurement of intraocular pressure.
- Ultrasound of the eyeball.
There are several approaches to the therapy of this symptom, some of them are based on the use of proper medications, while others may be based on surgical intervention.
Treatment with the help of folk remedies for this type of syndrome is unacceptable, it is important to resort only to effective and proven methods of official medicine.
Drug treatment is mainly through the injection of long-acting drugs into the posterior subtenone space, which helps to cope with the turbidity of the vitreous. Drugs are prescribed exclusively by the attending physician.
The use of the same local steroids, as a rule, is ineffective. Also, due to the fact that posterior synechiae are extremely rare, there is usually no appointment of mydriatica.
If the effectiveness of the use of steroid drugs is low, if no effect occurs, The vitreous body is too much turbid and still remains cloudy, despite all the effects, then thenthe so-called vitrectomy, at which either partial or complete removal of the vitreous humor occurs.
This procedure is an extreme measure, if possible, the doctor will try to avoid its implementation.
No specific prevention for this disease is currently developed,since there is still no understanding of the exact causes of its origin and development.
However, since hypothetically this disease can develop against the backdrop of other inflammatory processes that occur in the body, It will not be superfluous to monitor your overall health and try to overcome any painful processes that develop in organism.
Fuchs's syndrome can slowly progress for many years, and it is difficult to diagnose it, because it is often ignored. All this leads to further problems and complications. Therefore, with the slightest suspicion of this form of uveitis, it is necessary to go to the ophthalmologist and start as soon as possible surgical treatment.
Read also about what is temporal arteritis and optic neuritis.