These adhesions may become permanent and bind the iris down so that it can no longer dilate or constrict the pupil.

The most important part of treatment is to prevent these adhesions. So drops of atropine and homatropine are used to dilate the pupil, pulling the iris away from the lens.

Homatropine has the advantage of being short acting, and so the dilation can be quickly reversed once the inflammation has subsided.

But this drug works poorly in children and in some adults, and so atropine is required.

This unfortunately, has a much longer action, and it may take up to a week before the pupil returns to its normal size once the drug is stopped.

The other drug of importance is cortisone in the form of drops, instilled into the eye to reduce inflammation.

Iritis may be mild or severe, it may persist for weeks or months, or may rapidly subside within a few days.

Unfortunately, it is prone to recur.

Assessment of any underlying condition is necessary so that this condition can also be treated.


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