Uveitis

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Author:
Rosie435
ID:
131406
Filename:
Uveitis
Updated:
2012-01-29 13:52:19
Tags:
Uveitis
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Description:
Uveitis
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  1. Signs of Acute Anterior Uveitis
    • Perilimbal Injection- eye inflamed and red
    • Dec Visual Acuity
    • Intraocular Pain: Inc on accomodation
    • Light sensitivity
    • Keratitic Precipitates (KP's)- Inflammatory cells clumpted together on Cornea
    • On Slit lamp:
    • - Flare- Due to exuded protein
    • - Aqueous Cells
    • Hopopyon-(In severe Inflamm WBC collect as a fluid level inferiorly)
    • Posterior Synechiae- ( Iris adheres to lens and bind pupil)
    • Peripheral Anterior Synechiae (PAS)- (Btwn iris and Trabecular meshwark- occlude drainage system)
    • Inc IOP- (By PAS and inc Aqueous Protein)
  2. Signs of Chronic Anterior Uveitis
    • Little Symptoms
    • Low pain
    • Min Injection
    • KP
    • Iris Nodules- Koeppe, Busacca (Granulomatous)
  3. Complications of Anterior Uveitis
    • Complicated Cataract
    • Mulitiple Synechaie- Pupilar Occlusion- Iris Bombe
    • 2ary Glaucoma
  4. Treatment of Anterior Uveitis
    • Long Term Mydriatics- Atropine %
    • Systemic Treatemt of Underlying Disease
    • Topical Steroids- Dexamethasone
    • Systemic NSAIDS
    • V slow withdarawl of therapy
  5. Causes of Uveitis
    • 1. Spontaneous
    • 2. Bonde Disease-
    • -Juvenile Arthritis
    • -Ancylosing Spondylitis
    • -Rheumatoid Arthritis
    • -Collagenosis
    • 3. GI Autoimmune
    • - UC
    • - Crohn's
    • - Behcet's
    • - Sarcoidosis
    • 4. Infections
    • - Bacterial (Syphilis)
    • -Viral (HS, HV, HIV)
    • - Fungal
    • - Parasites- (Toxoplasmosis, Toxocarosis)
  6. Signs of Intermediate Uveitis
    • Mild Symptoms- Blurring, Vitreous Floaters
    • Mild Anterior Uveitis- Few KP's
    • Cells in Anerior Vitreous- Snowball Formation
    • Grey-White Fibrovascular Plaques (in fundus periphery, inferiorly)
    • Rarely- Mild Papilloedema, Swelling of Macula
  7. Treatment of Intermediate Uveitis
    • Long Term Hydriatic
    • Steroids- Topical, Systemic, Periocular injection
    • Immunosupprasants- Azothiaprim
    • Pars Plana Vitrectomy
  8. Post Uveitis Signs
    • Inflamed Focus/ Multiple Foci- Grey-White colour
    • Retinitis, Choroditis, Vasculitis, Vitritis
    • Heal with Pigmented Areas
  9. Treatment of Posterior Uveitis
    • Steroids- Periocular, Systemic, Intraocular
    • Immunosupp
    • Treat any Causative disease
    • Pars Plana Vitrectomy

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