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MRI sacroiliitis — SCE Rheumatology MCQ

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HardMusculoskeletal InvestigationsMRI sacroiliitisSCE Rheumatology

A man with axial spondyloarthritis develops a painful red photophobic eye and blurred vision over 12 hours. What is the most appropriate action?

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Correct answer: D — Same-day ophthalmology assessment for acute anterior uveitis

The best answer is “Same-day ophthalmology assessment for acute anterior uveitis”. Pain, photophobia, redness and visual change in axial spondyloarthritis suggest acute anterior uveitis, which needs urgent slit-lamp assessment and treatment to prevent complications. Conjunctivitis treatment, exercise and delayed review would risk avoidable visual harm.

Reference: NICE NG65 spondyloarthritis recommendations: https://www.nice.org.uk/guidance/ng65/chapter/Recommendations