631 - 9 Anterior Uveitis Ocular Dz

Front 1

name 5 ways uveitis is classified

Back 1

based on anatomic inflammation site
based on which structure it affects (anterior/posterior)
granulomatous vs nongranulomatous
clinical
etiological

Front 2

what is iridocyclitis

Back 2

uveitis of the iris and ciliary body. this is the most common acute form

Front 3

what is cyclitis?

Back 3

uveitis of the ciliary body or the pars plana

Front 4

what is iridochoroiditis

Back 4

uveitis of the iris and choroid

Front 5

how do you classify uveitis based on anatomic inflammation site

Back 5

iritis, iridocyclitis, cyclitis, or iridochoroiditis

Front 6

how do you classify uveitis based on the structue that it affects

Back 6

anterior, posterior or intermediate

Front 7

what is granulomatous uveitis

Back 7

granulomatous is a chronic form that contains mutton fat KP's, iris nodules

Front 8

what is non granulomatous uveitis

Back 8

often acute with fine KP's

Front 9

what immunologic marker is associated with uveitis

Back 9

HLA-B27

Front 10

is accommodation affected with anterior uveitis

Back 10

yes it is reduced and painful

Front 11

is circumlimbal flush 360 deg around the cornea

Back 11

not always. it is more red right on the limbus.

Front 12

what will you see with the cornea during during an anterior uveitic attack

Back 12

edema, and KP's either mutton fat or fine.

Front 13

how can a person that is a diabetic affect your slit lamp exam (relating to anterior uveitis)

Back 13

you may see flare in these pt's with out seeing cells.

Front 14

what type of syneciae could you see with anterior uveitis

Back 14

posterior synechiae at pupilary edge

Front 15

what type of nodules are seen with anterior uveitis. location and name

Back 15

Busacca - white, yellowish, or black lumps away from pupil boarder associated with granulomatous.
Koeppe - round or oval solid tissue located at the pupil border. can cause synechiae.

Front 16

describe finding with the pupil in a person that has anterior uveitis

Back 16

the reaction may be normal to sluggish, usually but not always miotic, possible corectopia (off centered), and the pupil may be fixed if they have a 360 synechiae.

Front 17

will the IOP be reduced or increased in a pt with anterior uveitis

Back 17

usually reduced 3-6 mm due to reduced production of aqueous be the ciliary body. however it could be increased if outflow is affected by something like inflammatory cells.

Front 18

is pain worse in acute or chronic anterior uveitis

Back 18

in acute the pain is usually moderate to severe dull aching pain behind the eye.
with chronic it is usually mild to moderate and sometimes none at all.

Front 19

describe the photophobia differences with acute and chronic anterior uveitis

Back 19

acute is distictly photophobic
chronic is only mildly photophobic

Front 20

what is the difference in the systemic history b/t the acute and chronic form of anterior uveitis

Back 20

acute will usually have no systemic hx
chronic will have frequent systemic hx

Front 21

what is the difference in circumlimbal flush b/c chronic and acute anterior uveitis

Back 21

acute will have moderate and chronic will have mild

Front 22

what is the difference b/t IOP in acute and chronic anterior uveitis

Back 22

acute will usually have reduced IOP and chronic will usually have secondary glaucoma.

Front 23

does acute or chronic anterior uveitis have a greater chance of complications

Back 23

chronic has a greater chance for potential complications

Front 24

name 5 things you want to look at when you have a pt with anterior uveitis

Back 24

VA's, KP's, IOP, synechiae?, and cells and flare.

Front 25

how long do the effects of each of these last? homatropine 5%, scopolamine, and atropine

Back 25

homatropine 1 day
scopolamine 5 to 7 days
atropine 1 -2 weeks

Front 26

what are three main objectives to consider when treating anterior uveitis

Back 26

protect vision, reduce scarring, and reduce pain.

Front 27

name some factors that would indicate to you that you should have an anterior uveitis pt get a medical test

Back 27

chronic cases, poor response to therapy, recurrence, bilateral or alternating, children, any posterior uveitis, or immunocompromised pt's.

Front 28

what type of medical test/diseases should be tested for that could be related to or causing anterior uveitis

Back 28

VDLR, RPR, CBC, chest x ray for sarcoid, TB, histo., join x rays. HLA typing.

Front 29

name 7 conditions Dr. williams went into depth on that are related to anterior uveitis

Back 29

ankylosing spondylitis, reiters syndrome, juvenile chronic arthritis, sarcoidosis, TB, syphilis, and toxoplasmosis.

Front 30

what are the two recomended tests when looking for ankylosing spondylitis

Back 30

sacroiliac x rays, and ESR.

Front 31

what would be the key systemic symptom in a pt that has anterior uveitis and ankylosing spondylitis

Back 31

back pain

Front 32

what drugs would you use in a pt that has anterior uveitis due to ankylosing spondylitis

Back 32

predforte 1% q2h, and atropine 5%

Front 33

what is anterior uveitis associated with if you see conjunctivitis, polyarthritis and urethritis

Back 33

reiters syndrome. commonly seen in

Front 34

why is oral tetracycline given to someone with reiter's syndrome and anterior uveitis

Back 34

b/c this could be caused by syphilis and oral tetra will treat the systemic problems as well as the anterior uveitis.

Front 35

4 yo girl appears to be acutely ill with knee and elbow pain and anterior uveitis. what systemic condition is likely?

Back 35

juvenile chronic arthritis

Front 36

what is triad associated with juvenile chronic arthritis

Back 36

called stills ocular triad, iridocyclitis, band keratopathy, and cataracts.

Front 37

what are the anterior uveitis findings with a person that has juvenile chronic arthritis.

Back 37

it is nongranulomatous and may present as a white eye with cells and flare.

Front 38

what is the most common test to run on a person with juvenile chronic arthritis that has anterior uveitis

Back 38

ANA this is positive in 80% of pts with JCA and have uveitis but negative in pts with JCA and no uveitis.

Front 39

what % of people with sarcoid show ocular features

Back 39

50% but it can affect any organ

Front 40

what is the tx for a child that has anterior uveitis and JCA?

Back 40

treat the uveitis as normal and maybe use ASA for joints. no steroids b/c they retard growth.

Front 41

if a person has syphilis will the VDRL test always be positive? what other tests could be done

Back 41

no only if it is active. FTA-ABS or MHA-TP these will be positive throughout life. ESR will also be elevated

Front 42

what are the three stages and associated symptoms for syphilis

Back 42

primary - painless ulcer
secondary - skin rash (palms,soles, trunk)
tertiary - neurosyphilis

Front 43

syphilis is associated with many forms uveitis could you use steroids to reduce the inflammation

Back 43

no it is unresponsive to steroids when related to syphilis.

Front 44

huntchins sign is what? and is associated with syphilis and what other dz

Back 44

interstitial keratitis, deafness, and nitched inscisors. it is also associated with measles

Front 45

what is the prognosis of syphilis

Back 45

good if treated early, poor if optic neuritis or retinal disease develops.

Front 46

co management of syphilis may include the use of what drug for therapy

Back 46

penicilin

Front 47

what is the protozoan infection that you can get from cat poo, or un homogenized milk

Back 47

toxoplasmosis

Front 48

toxoplasmosis is usually acquired congenitally or acquired

Back 48

generally congenital

Front 49

the most common cause of chorioretinitis is

Back 49

toxoplasmosis

Front 50

what is chorioretinitis

Back 50

fluffy white lesions that look like headlights in the fog. you will see cells and flare in the vitreous. think of the to o's in ChOriOr and tOxO as headlights. toxoplasmosis is the most common cause of chorioretinitits

Front 51

your pt has symptoms like mono and you see chorioretinitis. what condtition may they have

Back 51

toxoplasmosis. tell them to stay out of the toxic cat poo

Front 52

what drugs are use for tx of toxoplasmosis

Back 52

systemic steroids, and the antitoxoplamic agents; pyrimethamine, chlortetracycline, sulfadiazine, clindamycin.

Front 53

what is the ocular prognosis for a person with toxoplasmosis

Back 53

good if the macula is not involved.

Front 54

name the top two lab tests when testing for toxoplasmosis

Back 54

flourescent antibody test and ELISA

Front 55

tuberculosis and syphilis. are they bacterial or viral

Back 55

bacterial.

Front 56

for every red eye you should check

Back 56

IOP

Front 57

pars planitis, VKH syndrome and Behcet's disease are all examples of what

Back 57

non infectious causes of anterior uveitis

Front 58

a pt with no angle closure, increased IOP, mostly reactive pupils, and a white eye. this could be associated with anterior uveitis. what is it

Back 58

glaucomatocyclitic crisis.

Front 59

the most sensitive test for sarcoid is

Back 59

ACE

Front 60

the test that is best and most highly coordinated with JRA is

Back 60

ANA - anti nuclear antibody

Front 61

what test should you get done for a general overview of health

Back 61

CBC complete blood count

Front 62

if you have a pt that has anterior uveitis and complains of joint pain, what test would you do to see if the two could be related

Back 62

RF. rheumatoid factor is associate with RA which is not associated with anterior uveitis. AS reiters and JRA will test negative to this test.

Front 63

what test is good for a posterior uveitic pt that may need to be comanaged by a ret specialist

Back 63

ELISA