Which of the following are clinical signs of acute uveitis?

• A. Epiphora, blepharospasm, photophobia
• B. Bacterial conjunctivitis with purulent discharge
• C. Normal vision with clear cornea
• D. Increased tear production only

Answer: (A)

Acute uveitis is an inflammatory process inside the eye that causes pain and light sensitivity. The iris and ciliary body inflame, so the eye becomes very uncomfortable, prompting blepharospasm as a protective reflex. Photophobia is common because the irritated eye reacts strongly to light. Tear production and tearing can increase (epiphora) as a reflex response to irritation. These signs—eye pain with guarding, light sensitivity, and tearing—are characteristic of acute intraocular inflammation.

In contrast, bacterial conjunctivitis usually presents with mucopurulent discharge from the conjunctiva, not the deep, painful photophobia seen with uveitis. A normal vision and clear cornea do not fit active uveitis, which often affects intraocular structures and can alter vision. Increased tears alone lack the pain and light sensitivity hallmark of acute uveitis.