Anterior Uveitis

Front 1

Often not a primary ocular disease but a single manifestation of another systemic disease process.

Back 1

Anterior Uveitis

Front 2

Most common form of ocular inflammation causing a painful red eye.

Back 2

Iritis (both granulomatous and non-granulomatous)

Front 3

Anterior Uveitis accounts for _________% of all uveitis seen and _:_ more common than posterior.

Back 3

80-90%
4:1

Front 4

Etiologies of Anterior Uveitis

Back 4

(1) idiopathic
(2) traumatic
(3) post-operative
(4) ocular or systemic disease

Front 5

Hypopyon almost always due to _________ associated anterior uveitis, Behcet's disease, endophthalmitis or neoplastic masquerade syndrome.

Back 5

HLA-B27

Front 6

Slit lamp exam of A/C for anterior uveitis. Need cells to be ________. If not, push back further with beam.

Back 6

ascending

Front 7

Acute Uveitis typically _______ IOP.

Back 7

lowers

Front 8

Herpetic uveitis, toxoplasmosis, sarcoidosis and Posner-Schlossman synd. typically _______IOP.

Back 8

elevate

Front 9

Bulbar and palpebral conj. granulomas can occur in _________ and ___________.

Back 9

sarcoidosis
tuberculosis

Front 10

Most keratic ppt' (KPs)of the cornea settle inferior between _______ and _________ forming _________.

Back 10

4 o'clock
8 o'clock
Arlt's triangle

Front 11

Granulomatous KPs of the cornea that are greasy suggest:

Back 11

sarcoidosis
TB
syphilis

Front 12

Nongranulomatous KPs of the cornea tend to be small and occur in _________

Back 12

any type of uveitis

Front 13

Fine stellate KPs of the corneal endo. occur in:

Back 13

(1) herpetic uveitis
(2) Fuch's heterochromic iridocyclitis
(3) toxoplasmosis
(4) sarcoidosis

Front 14

Sarcoidosis can present with non-granulomatous characterisitcs.
T or F

Back 14

True

Front 15

Hypopyon in a child or elderly must rule out:

Back 15

pseudo-hypopyon composed of tumore cells from a primary or metastatic lesion

Front 16

Neoplastic or proliferative lesions that cause intraocular infiltration of cells, stimulating immune-mediated uveitis.

Back 16

Masquerade Synd.

Front 17

Most frequent neoplastic masquerader.

Back 17

Primary intraocular or retinal lymphoma (PIOL)

Front 18

A high grade malignant non-Hodgkins lymphoma arising in the retina with involvement of the vitreous and sometimes the optic nerve.

Back 18

Primary intraocular or retinal lymphoma (PIOL)

Front 19

Think leukemia if see hypopyon in __________.

Back 19

Child

Front 20

Think primary intraocular lesion is see hypopyon in _________.

Back 20

Adult

Front 21

Primary intraocular (retinal) Lymphoma (PIOL) presents with:

Back 21

(1) bilateral idiopathic steroid resistant chronic uveitis with vitritis
(2) blurred vision/painless/red eyes
(3) exudative retinal detachment
(4) fundus mass
(5) glaucoma
(6) neo
(7) optic neuropathy
(8) varying chorioretinal abnormalities

Front 22

Iris nodules or iris ppts suggest:

Back 22

sarcoidosis
infectious uveitis

Front 23

Iris atrophy suspect:

Back 23

(1) Fuchs' heterochromatic iridocyclitis
(2) herpetic uveitis

Front 24

Sectoral iris atrophy suspect:

Back 24

herpes

Front 25

Iris atrophy of the pupillary margin suspect:

Back 25

HSV

Front 26

Iris atrophy of the base or root suspect:

Back 26

HZO

Front 27

Iris nodules in pupillary margin suspect:

Back 27

Koeppe

Front 28

Iris nodules in stroma suspect

Back 28

BuSacca

Front 29

______% of uveitis occurs in children < 16 y.o.

Back 29

5-10%

Front 30

AU in adults is more blinding than in children.
T or F

Back 30

FALSE!
40% of cases are posterior uveitis

Front 31

Pediatric AU sequelae:

Back 31

(1) glaucoma
(2) macular edema
(3) retinal damage
(4) cataract formation

Front 32

Anterior Uveitis workup. 5 tests:

Back 32

(1) HLA-B27
(2) VDRL alone or w/FTA -ABS
(3) CBC
(4) chest x-ray
(5) ACEif uveitis chronic

Front 33

Controlled inflammation is a patient with ________ cells and _____ flare in the A/C.
_______active retinal inflammation and ______ cystoid macular edema.

Back 33

NO
up to 1+
N0
N0

Front 34

______ limits the options for glaucoma treatment and makes mgt more difficult.

Back 34

active inflammation

Front 35

____% of uveitis patients will develop EIOP.

Back 35

25%

Front 36

Patients with uveitic glaucoma treatment.

Back 36

surgery to ctrl EIOP

Front 37

Any inflammation which is primarily in the region of the pars plicate, pars plana and peripheral retina.

Back 37

Intermediate Uveitis

Front 38

Diagnosed by presence of highest concentration of cells on anterior vitreous with or w/o evidence of exudates or classic collagen band "snowbanks". NO signs of intraocular foreign body or infection.

Back 38

Idiopathic Intermed. Uveitis, Pars Plantis

Front 39

Of Idiopathic Intermed. Uveitis, Pars Plantis patients, _______% lose vision to 20/40 never recover 20/20.

Back 39

35%

Front 40

Most common cause of pediatric anterior uveitis.

Back 40

Juvenile Rheumatoid Arthritis

Front 41

Most common cause of anterior uveitis.

Back 41

Idiopathic

Front 42

Onset of JRA in 30% of cases characterized by high remittent fever and at least one of following: lymph-adenopathy, maculopapular rash, hepatomegaly, spleeno-megaly, or pericarditis. UVEITIS RARE!

Back 42

Systemic

Front 43

Onset of JRA in 20% of cases in which the disease affects 5 or more joints and involves knees, wrist, and ankles.UVEITIS FAIRLY RARE!

Back 43

Poluarticular

Front 44

Onset JRA in 50% of cases in which 4 or less joints are involved. 75% are girls and 30% develop non-granulomatous uveitis.

Back 44

Pauciarticular

Front 45

For JRA treatment, you should adjust steroid therapy by the degree of flare found in the A/C.
T or F

Back 45

FALSE!
degree of cell

Front 46

Presents uniocularly with acute onset of severe pain, redness, photophobia and decreased vision. Affects more males in 30s w/history of back pain.

Back 46

Specific AU, HLA-B27

Front 47

Most common form of hypopyon uveitis in the US with fibrinous exudates (bumpy hypopyon).

Back 47

Specific AU, HLA-B27

Front 48

A spondyloarthropathy that occurs after enteric or urogenital infection

Back 48

Sepcific AU, Reactive Arthritis- Reiters Syndrome

Front 49

Reiters Syndrome triad:

Back 49

(1) conjunctivitis
(2) arthritis
(3) urethritis

Front 50

Stromal iris atrophy is much more common in HZO than in HSV.
T or F

Back 50

TRUE!

Front 51

90% uniocular. Low grade panuveitis with rapid onset cataract formation and high risk of secondary open angle glaucoma.

Back 51

Specific AU, Fuch's Heterochromic Iridocyclitis

Front 52

Diffuse atrophy of the iris stroma, fine stellate KPs and mild ant. seg. inflammation with moderate number of cells.

Back 52

Specific AU, Fuch's Heterochromic Iridocyclitis

Front 53

Rare; occurs in middle-age. UNILATERAL, acute episode of EIOP associated with AU. IOPs range 40-70.

Back 53

Glaucomatocyclitic Crisis, Posner-Schlossman Syndrome

Front 54

The "great mimicker". Ocular manifestations: bleph, madarosis, conjunctivitis, dacryocystitis, keratitis, iris nodules, iridocyclitis, episcleritis.

Back 54

Specific Anterior Uveitis, Syphilis-T. pallidum