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Ankylosing Spondylitis — Anterior Uveitis

A 29-year-old man with chronic low back pain and HLA-B27 positivity presents with unilateral eye pain, photophobia, and blurred vision. Slit-lamp shows anterior chamber cells and flare. Outline diagnosis and management steps.

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Topical corticosteroids and cycloplegics

Clinical: painful red eye, anterior chamber cells/flare, HLA-B27 association

Rheumatology follow-up for ankylosing spondylitis

Monitor for synechiae, glaucoma, cataract

Systemic immunosuppressants if recurrent or refractory

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