Ultrawide Field Imaging in Uveitic Non-dilating Pupils

Non‐dilating pupils due to anterior segment inflammation in uveitis commonly interfere with a proper fundus examination. Ultrawide field fundus imaging (UWFI, Optos 200 TxTM; Optos PLC., Dunfermline, Scotland, United Kingdom) uses a confocal scanning laser ophthalmoscope. The aim of this manuscript is to describe the utility of UWFI in cases of uveitis with non‐ dilating pupils. Consent was taken from all the patients and the declaration of Helsinki was followed during patient care. A 32‐year‐old woman (Case 1) had smal l pupils in both eyes. She had 5/60 vision in both eyes with bilateral early posterior subcapsular cataracts [Figure 1a], and cystoid macular edema. The UWFI enabled us to document the associated vitritis [Figure 1b]. No other retinochoroidal lesion or vasculitis was seen. Thus, a diagnosis of intermediate uveitis was made. A 43‐year‐old woman (Case 2) with acquired immunodeficiency syndrome and a CD4 count of 33 presented with bilateral perception of light and inaccurate projection of rays. Both eyes had posterior synechiae, right eye had an early cataract [Figure 2a] and left eye had a mature cataract. Further, UWFI Ultrawide Field Imaging in Uveitic Non‐dilating Pupils