In severe cases of anterior uveitis whole circle of pupil gets adhered to lens capsule resulting in:
**Core Concept**
Seclusio pupillae is a condition characterized by the adhesion of the iris to the lens capsule in the context of anterior uveitis, leading to a complete or partial obstruction of the pupil. This phenomenon is a result of the inflammatory process causing fibrosis and adhesion between the iris and the lens capsule.
**Why the Correct Answer is Right**
In severe cases of anterior uveitis, the inflammatory mediators and cellular infiltration lead to the formation of a synechial membrane between the iris and the lens capsule. As the inflammation worsens, this membrane can become more fibrotic and adhere the iris to the lens capsule, resulting in seclusio pupillae. The resulting pupil is often irregularly shaped and may be partially or completely occluded, leading to decreased vision and increased intraocular pressure.
**Why Each Wrong Option is Incorrect**
**Option A:** Occlusio pupillae refers to the complete obstruction of the pupil by the iris, which is not a direct result of the adhesion between the iris and the lens capsule.
**Option C:** Festooned pupil is a description of a pupil that has a wavy or irregular shape, often seen in conditions such as iridocyclitis or uveitis, but it does not specifically refer to the adhesion of the iris to the lens capsule.
**Option D:** Mydriatic pupil refers to a pupil that is dilated, often due to sympathetic stimulation or the use of mydriatic agents. This option is not relevant to the adhesion of the iris to the lens capsule in anterior uveitis.
**Clinical Pearl / High-Yield Fact**
In cases of seclusio pupillae, it is essential to manage the underlying anterior uveitis promptly to prevent further complications, such as increased intraocular pressure, cataract formation, and vision loss.
**✓ Correct Answer: B. Seclusio pupillae**