Fuchs heterochromic iridocyclitis

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Classification according to ICD-10
H20.1 Chronic iridocyclitis
H20.8 Other iridocyclitis
ICD-10 online (WHO version 2019)

The Fuchs heterochromic iridocyclitis or Fuchs Syndrome III denotes a color difference between the iris of the right and left eyes ( iris Heterochromie ) together with a chronic inflammation of the iris of the lighter eye.

Synonyms are:

  • Heterochromic Fuchs cyclitis
  • Heterochromic cyclitis
  • Heterochromia fox
  • Fuchs' uveitis syndrome
  • Fuchs heterochromic cyclitis

The name refers to the first description from 1904 by Weill and then in 1906 by the Austrian ophthalmologist Ernst Fuchs .

Epidemiology and cause

The frequency is given as 1–9: 1,000,000. The cause has not yet been clarified.

Clinical manifestations

Clinical criteria are:

  • Diffuse heterochromia in non-irritating eyes or atrophy of the iris
  • chronic mostly unilateral iridocyclitis on the side of the lighter iris
  • keratitic deposits in the absence of synechia

In addition, glaucoma and vitreous opacities can develop .

Differential diagnosis

The following are to be distinguished:

Individual evidence

  1. a b c B. Leiber: The clinical syndromes. Syndromes, sequences and symptom complexes. Edited by G. Burg, J. Kunze, D. Pongratz, PG Scheurlen, A. Schinzel, J. Spranger, 7th edition. Urban & Schwarzenberg 1990, ISBN 3-541-01727-9
  2. E. Fuchs: About complications of heterochromia. In: Zeitschrift für Augenheilkunde , Basel, 1906, Vol. 15, pp. 191–212.
  3. a b Fuchs heterochromic iridocyclitis. In: Orphanet (Rare Disease Database).

See also