It depends on the location of the uveitis as to whether it hurts or not. Anterior uveitis (also called iritis) is in the front of the eye and can be REALLY painful. Intermediate uveitis (in the middle of the eye, also called pars planitis) and posterior uveitis (in the back of the eye) are typically not painful.

Anterior uveitis / iritis is the type of uveitis normally associated with AS. For me, it felt like someone poking my eye with an ice pick. If I closed my eye and gently pressed my eyelid, the eye felt very sore and painful. Light sensitivity is another symptom. I had to wear sunglasses even indoors when the iritis got really bad. My eye never felt especially dry until after I started the steroid drops, which made it feel very dry. My eye never looked bloodshot, just irritated, and sometimes had the red ring around the iris.

Ginny - 58 year old female
Dx with USpA in March 2013; changed to AS in July 2015
Iritis and Scleritis, both currently in remission
unicompartmental knee replacements: right-June 2014, left-Aug 2018
MTX, Humira, Cyclobenzaprine, plus Celebrex as needed
Supplements: Folic Acid, Vitamin A, Vitamin D, Calcium, Fish Oil, Culturelle probiotic, Melatonin (as needed)