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19 Cards in this Set
- Front
- Back
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Uveitis: Definition
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Inflammation of the uveal tract (iris, choroid, cilliary body)
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Uveitis: Etiological Classification
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Infectious - HSV, HZV, Candidiasis, HIV, CMV, TB
Inflammatory - seronegatve arthropathy, JRA, sarcoidosis Neoplastic |
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Uveitis: Anatomical Classification
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Anterior Uveitis, Intermediate uveitis, posterior uveitis, panuveitis
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Anterior Uveitis: location and manifestaions
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Anterior chamber
Iritis, iridocyclitis, anterior cyclitis |
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Intermediate Uveitis: location and manifestations
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Vitreous
Pars plantis Posterior cyclitis Hyalitis |
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Posterior Uveitis: location and manifestiations
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Retina and choroid
choroiditis, chorioretinitis, retinitis, neuroretinitis |
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Panuveitis: location
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Anterior chamber, vitreous and retina or choroid
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Iritis: signs and symptoms
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miosis, cilliary flush (red at limbus), cells in A/C
pain, redness, photophobia +/- reduced vision |
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Iritis: Etiology
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50% unknown
Ocular disease (ulcer, abrasion, trauma, tight lens, HSV/HZV) Systemic: Autoimmune (JRA, ank spon, Crohn's), sarcoid, syphilis, TB |
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Keratic Precipitates (deposits on inner cornea)
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Small KP (non-granulomatous)
Brown KP (herpetic iridocyclitis) Large KP (Granulomatous) |
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Large KP Ddx
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TB, sarcoid, fungal infection, FB, bartonella, syphilis, lyme disease, leprosy, toxoplasmosis, brucellosis, sympathetic opthalmia
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Iritis: Nodules
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Koppe nodules (granulomatous and non-granulomatous)
Busaca nodules (granulomatous) |
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Iritis: Complications
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Corneal precipitates/nodules
Peripheral anterior synechiae - Iris to cornea Posterior synechiae - Iris to lens Glaucoma - open angle, then close angle (due to synechiae) |
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Iritis: Treatment
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initial: saturation with steroid drops
later: attempt to taper |
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Candida endopthalmitis
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Fungal ball in vitreous
"string of pearls" Treat with anti-fungals if suspect systemic disorder |
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Syphilis eye infection - "the great masquerader"
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Congenital - interstitial keratitis, saddle nose
Primary - eyelid chancre, conjunctivitis Secondary - iritis, optic neuritis, retinal vasculitis Tertiary - Argyll Robertson pupils, internuclear opthalmoplegia |
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Sarcoidosis eye pathology
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Uveitis
Findings: large KP, iris nodules, conjunctival/eyelid nodules, vitritis, retinal periphlebitis, optic nerve infiltration, lacrimal gland inflammation |
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Tuberculosis eye pathology - "the great imitator"
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Anti-TB meds associated optic neuropathy
Infection (uncommon) |
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AIDS ocular manifestations
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cotton wool spots (HIV retinopathy)
Retnial hemorrhages CMV retinitis ("pizza pie") Kaposi's sarcoma of conjunctiva Molluscum contagiosum |
