Treatment of choice for acute anterior uveitis is
**Core Concept**
Acute anterior uveitis is an inflammatory condition characterized by the involvement of the anterior segment of the eye, including the iris and ciliary body. The treatment aims to reduce inflammation, alleviate pain, and prevent complications such as synechiae formation.
**Why the Correct Answer is Right**
The treatment of choice for acute anterior uveitis is topical corticosteroids, which effectively reduce inflammation by suppressing the immune response and inhibiting the production of pro-inflammatory cytokines. Corticosteroids, such as prednisolone acetate 1%, are typically administered 2-4 times a day to the affected eye. This allows for direct access to the site of inflammation, minimizing systemic side effects.
**Why Each Wrong Option is Incorrect**
**Option A:** Cycloplegics, such as atropine, are used to treat acute angle closure glaucoma or to dilate the pupil in cases of uveitis, but they are not the primary treatment for acute anterior uveitis.
**Option B:** Antibiotics are used to treat bacterial infections, which may be a cause of uveitis, but they are not the first-line treatment for acute anterior uveitis.
**Option C:** Topical NSAIDs, such as ketorolac, may be used adjunctively to reduce inflammation and pain, but they are not the primary treatment for acute anterior uveitis.
**Clinical Pearl / High-Yield Fact**
Remember that topical corticosteroids should be used with caution in patients with a history of glaucoma or cataracts, as they can exacerbate these conditions. Regular follow-up with an ophthalmologist is crucial to monitor the response to treatment and adjust the dosage as needed.
**Correct Answer:** C. Topical corticosteroids.