What is the management for iritis?

• A. Immediate referral to ophthalmology
• B. Observation with artificial tears
• C. Start topical steroids
• D. Over-the-counter eye drops

Answer: (A)

Iritis is an inflammatory condition of the anterior uveal tract that can threaten vision if not evaluated and treated promptly. The priority is an ophthalmology assessment right away because the diagnosis often requires slit-lamp examination to confirm the inflammation and to rule out infectious causes, which dramatically change management. Non-ophthalmic approaches like artificial tears or over-the-counter eye drops do not address the inflammation and can delay appropriate therapy. Starting topical steroids and cycloplegics is typically reserved for an ophthalmologist, since improper use can raise intraocular pressure, cause cataract formation with prolonged use, or worsen an underlying infection. Because iritis can be associated with systemic diseases and can lead to complications such as synechiae and glaucoma, urgent referral ensures accurate diagnosis, appropriate treatment, and monitoring.