Treatment of choice for acute anterior uveitis is –
**Core Concept**
Acute anterior uveitis is a form of uveitis that affects the anterior segment of the eye, including the iris and the ciliary body. The treatment of choice aims to reduce inflammation, prevent complications, and alleviate symptoms.
**Why the Correct Answer is Right**
The treatment of choice for acute anterior uveitis is typically topical corticosteroids, such as prednisolone acetate or fluorometholone, which are applied directly to the affected eye. These medications work by suppressing the immune response and reducing inflammation in the anterior segment. Corticosteroids are effective in reducing pain, redness, and photophobia associated with uveitis. Additionally, they help prevent complications such as synechiae (adhesions between the iris and the lens) and cataract formation.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because oral corticosteroids, such as prednisone, are not typically used as the first line of treatment for acute anterior uveitis due to their potential side effects and systemic effects.
**Option B:** This option is incorrect because NSAIDs, such as ketorolac, may be used as adjunct therapy to reduce pain and inflammation, but they are not the primary treatment for acute anterior uveitis.
**Option C:** This option is incorrect because cycloplegic agents, such as atropine, may be used to relieve pain and prevent synechiae, but they are not the primary treatment for acute anterior uveitis.
**Clinical Pearl / High-Yield Fact**
Topical corticosteroids are the mainstay of treatment for acute anterior uveitis, and their use should be continued until there is significant reduction in inflammation and symptoms.
**Correct Answer: C. Topical corticosteroids.**