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20 Cards in this Set
- Front
- Back
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What tests should be ordered if you have a patient with:
- unilateral uveitis - mild inflammation - first episode |
none
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What tests should be ordered if you have a patient with:
- bilateral uveitis - mutton fat KPs - moderate inflammation |
Chest X-Ray
PPD VDRL: FTA-ABS Serum ACE |
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What tests should be ordered if you have a patient with:
- bilateral uveitis - mild to moderate inflammation - second episode |
HLA-B27
Chest X-Ray VDRL: FTA-ABS |
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What tests should be ordered if you have a patient with:
- unilateral uveitis - moderate inflammation - first episode |
HLA-B27
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What tests should be ordered if you have a patient with:
- unilateral uveitis in a child - first episode - mild inflammation - asymptomatic |
ANA
HLA-B27 |
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What tests should be ordered if you have a patient with:
- bilateral uveitis - suspected sarcoidosis |
Chest X-Ray
Serum ACE |
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What 5 types/groups of JIA are there?
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- Systemic - uveitis least common
- Polyarticular (>5 joints) - Enthesitis Related - Psoriatic - Pauciarticular/Oligoarticular (<5 joints) - uveitis most common |
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What characteristics put a child at highest risk for developing JIA associated uveitis?
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- polyarticular or pauciarticular
- onset/Dx before age 7 - duration of disease > 4 years - ANA+ - HLA-DR5+ |
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Which Rx would you prescribe to someone with moderate uveitis
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1. 5% Homatropine ophth sol #10mL 1gt bid
2. PredForte ophth susp #10mL 1 gt Q1hr 3. Consideration of oral NSAID 4. Consideration of IOP lowering gtt if indicated |
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What 3 purposes does a mydriatic/cycloplegic serve in uveitis tx?
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1. Relieves pain: stops rubbing of inflamed iris vessels and minimizes ciliary spasm
2. Prevents formation of posterior synechiae 3. Stabilizes the Blood-Aqueous-Barrier to help prevent more protein leakage (reduce flare) |
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How many "gtts" in 1 mL?
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20
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How often will you see a patient in follow up for acute anterior uveitis?
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After initial visit:
- Next day - Next week - Q 2 weeks until settled? If it's chronic OR recurrent, bring back every (1-6) months (more often if asymptomatic) |
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Over how many weeks should you taper a steroid?
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at least 6
Usually 1 gt less per day over a 5 day to 1 week period; that is, q.i.d. x 1 week, then t.i.d. x 1 week... |
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In which patient would you consider the use of Durezol (difluprednate ophthalmic emulsion 0.05%)?
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Severe uveitis.
Durezol is indicated for the management of post operative pain and inflammation; has potent anti inflammatory effects and can be used for pain management. QID Durezol is as efficacious as Q1hr PredForte. |
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Would you consider TOPICAL NSAID use for uveitis patients? When?
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Yes.
Only if a patient cannot be easily weaned off steroids |
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What is the anti inflammatory dose of Ibuprofen?
What is the anti inflammatory dose of Naproxen? |
400 mg QID
500 mg BID |
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What is the most likely aetiology of intermediate uveitis?
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Idiopathic
However, recently found that intermediate uveitis can be associated with HTLV-1 (Human T-cell lymphotropic virus type-1) |
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What is the initial/most important management for a patient with intermediate uveitis?
What next if this treatment fails or the uveitis recurs? |
Steroid injection (i.e. NOT topical)
Then: - systemic NSAID (Naprosyn 500mg BID) - pars plana cryopexy - systemic immunosuppressive therapy/pars plana vitrectomy |
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Most common aetiology for posterior uveitis?
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- Toxoplasmosis (retinochoroiditis)
- Idiopathic - CMV - Histoplasmosis - Birdshot Retinopathy |
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Which drugs are used to manage TB? Why are they of significance to OD/OMDs?
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- Rifampin
- Ethambutol They have ocular ADRs. Can cause uveitis? |
