Abstract
The aetiology of acute anterior uveitis (AAU) in the great majority of cases is unclear. Various infective agents have been postulated, however, as playing a direct or indirect part in the disease process, possibly via an immune-complex vasculitis. In an earlier study we concluded that, contrary to a previous report, hepatitis B virus (HBV) played only a small role, if any, in the pathogenesis of uveitis in Great Britain. Since we did not look for other markers of HBV infection other than hepatitis B surface antigen (HBsAg), it is possible that some cases of recent HBV infection may have been missed. In the present study 49 patients with AAU were tested for markers of hepatitis B infection. Sera from all patients tested were found to be negative for HBsAg and for antibody to the HBV core (anti-HBc), excluding HBV as a significant cause of AAU in this country. Since the quest for an infective agent in AAU may remain unproductive, future research on the aetiopathogenesis of AAU should include the study of tissue 'vulnerability' and the local and systemic immunoregulatory factors which modulate inflammatory responses.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Andrews B. S., McIntosh J., Petts V., Penny R. Circulating immune complexes in acute uveitis: a possible association with the histocompatibility complex locus antigen B27. Int Arch Allergy Appl Immunol. 1979;58(3):313–321. doi: 10.1159/000232207. [DOI] [PubMed] [Google Scholar]
- Brzosko W. J., Krawczyński K., Nazarewicz T., Morzycka M., Nowoslawski A. Glomerulonephritis associated with hepatitis-B surface antigen immune complexes in children. Lancet. 1974 Aug 31;2(7879):477–482. doi: 10.1016/s0140-6736(74)92012-1. [DOI] [PubMed] [Google Scholar]
- Char D. H., Stein P., Masi R., Christensen M. Immune complexes in uveitis. Am J Ophthalmol. 1979 May;87(5):678–681. doi: 10.1016/0002-9394(79)90303-9. [DOI] [PubMed] [Google Scholar]
- Dernouchamps J. P., Vaerman J. P., Michiels J., Masson P. L. Immune complexes in the aqueous humor and serum. Am J Ophthalmol. 1977 Jul;84(1):24–31. doi: 10.1016/0002-9394(77)90319-1. [DOI] [PubMed] [Google Scholar]
- Fye K. H., Becker M. J., Theofilopoulos A. N., Moutsopoulos H., Feldman J. L., Talal N. Immune complexes in hepatitis B antigen-associated periarteritis nodosa. Detection by antibody-dependent cell-mediated cytotoxicity and the Raji cell assay. Am J Med. 1977 May;62(5):783–791. doi: 10.1016/0002-9343(77)90884-1. [DOI] [PubMed] [Google Scholar]
- Grob P. J., Martenet A. C., Witmer R. Nonspecific immune parameters and hepatitis B antigens in patients with uveitis. Mod Probl Ophthalmol. 1976;16:254–258. [PubMed] [Google Scholar]
- Levine R. A., Ward P. A. Experimental acute immunologic ocular vasculitis. Am J Ophthalmol. 1970 Jun;69(6):1023–1031. doi: 10.1016/0002-9394(70)91052-4. [DOI] [PubMed] [Google Scholar]
- Murray P. I., Prasad J., Rahi A. H. Status of hepatitis B virus in the aetiology of uveitis in Great Britain. Br J Ophthalmol. 1983 Oct;67(10):685–687. doi: 10.1136/bjo.67.10.685. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Murray P. I., Rahi A. H., Dinning W. J. T-lymphocyte subpopulations in acute anterior uveitis. Lancet. 1983 May 21;1(8334):1167–1167. doi: 10.1016/s0140-6736(83)92898-2. [DOI] [PubMed] [Google Scholar]
- Norn M. S. Immunoglobulins in endogenous uveitis. Br J Ophthalmol. 1976 Apr;60(4):299–301. doi: 10.1136/bjo.60.4.299. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nussenblatt R. B., Cevario S. J., Gery I. Altered suppressor-cell activities in uveitis. Lancet. 1980 Oct 4;2(8197):722–724. doi: 10.1016/s0140-6736(80)91938-8. [DOI] [PubMed] [Google Scholar]
- Nussenblatt R. B., Salinas-Carmona M., Leake W., Scher I. T lymphocyte subsets in uveitis. Am J Ophthalmol. 1983 May;95(5):614–621. doi: 10.1016/0002-9394(83)90379-3. [DOI] [PubMed] [Google Scholar]
- Rahi A. H., Holborow E. J., Perkins E. S., Gungen Y. Y., Dinning W. J. Immunological investigations in uveitis. Trans Ophthalmol Soc U K. 1976 Apr;96(1):113–122. [PubMed] [Google Scholar]
- Ryan L. M., Kozin F., Eiferman R. Immune complex uveitis: a case. Ann Intern Med. 1978 Jan;88(1):62–63. doi: 10.7326/0003-4819-88-1-62. [DOI] [PubMed] [Google Scholar]
- Snell G. D. The H-2 locus of the mouse: observations and speculations concerning its comparative genetics and its polymorphism. Folia Biol (Praha) 1968;14(5):335–358. [PubMed] [Google Scholar]
- Welsh J., Avakian H., Ebringer A. Uveitis, vitreous humour, and klebsiella. II. Cross-reactivity studies with radioimmunoassay. Br J Ophthalmol. 1981 May;65(5):323–328. doi: 10.1136/bjo.65.5.323. [DOI] [PMC free article] [PubMed] [Google Scholar]
