In anterior uveitis, what is the typical route of corticosteroid administration?

• A. Topical
• B. Periocular
• C. Systemic
• D. Intravitreal

Answer: (A)

The main idea is delivering anti-inflammatory medicine directly where the inflammation sits. In anterior uveitis the problem is in the iris and ciliary body in the front part of the eye, so topical corticosteroids reach the site efficiently through the cornea and conjunctiva. This gives a high local concentration, allows rapid control of inflammation, and keeps systemic exposure and side effects to a minimum.

Topical drops are started with frequent dosing (often hourly at first) and tapered as the inflammation improves, and they are typically used with cycloplegic drops to prevent pain and help prevent synechiae. If the inflammation responds poorly or involves deeper structures or both eyes, other routes such as periocular or systemic steroids may be needed, and intravitreal steroids are reserved for specific, refractory cases or posterior involvement.