Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
48 Cards in this Set
- Front
- Back
|
Angle |
SUP SC Schwalbe lines Unpigmented TM Pigmented TM Scleral Spur Colliary body |
|
|
Anterior Uveitis causes |
Iritis Iridocyclitis Anterior Cyclitis |
|
|
What is the most common type of Uveitis? |
Acute Anterior Uveitis |
|
|
Course of disease |
Acute (limited 3months or less0 Recurrent Complete resolution followed by another occurrence days or years inbetween)
Chronic (Persistant greater than three months in duration) |
|
|
What’s the difference between Acute and Chronic Uveitis? |
Acute is less than 3 months in duration while Chronic is greater than 3 months in duration
It will be recurrent if the Uveitis completely heals and then comes back days to years later |
|
|
What is the most common cause of Anterior Uveitis? |
Iritis |
|
|
Granulomatous Uveitis |
Infectious anterior Uveitis that includes having Mutton Fat KPs These usually follow Syphilis, TB, herpes or toxoplasmosis |
|
|
What are the telling signs of Granulomatous Anterior Uveitis? |
Large Mutton Fat Keratic Percipitates Iris Nodules |
|
|
What’s the most common cause of granulomatous Anterior Uveitis. |
Most common cause is unknown (Idioipathic) |
|
|
How exactly does Cells and flare get into thee Anterior chamber from Uveitis? |
The breakdown of the blood aqueous barrier which allows WBC and protein to escape into the Anterior Chamber |
|
|
What is Limbal Flush? |
Circumlimbal Redness |
|
|
True or false, you could have a dilated pupil. With Uveitis? |
Yes, the cilliary body becomes inflamed (can DECREASE IOP) and dilates the pupil a bit |
|
|
What is Hypopeon |
When WBC and other protein settle in the bottom of the iris/cornea |
|
|
Signs and Sx of Uveitis |
Sudden Onset of painful, red eyes. Photophobia NO DISCHARGE |
|
|
True or false, does Uveitis have any discharge? |
NO |
|
|
Chronic Uveitis |
Mostly idiopathic means its avute Uveitis that persists longer than 3 months Only about 10-12% of cases have an underlying cause **Higher risk of vision issues |
|
|
Signs and Sx of Chronic anterior Uveitis |
Eyes will be white and quiet but will have symptoms of long standing blur Iris Atrophy Post syn |
|
|
Treatment of Chronic Anterior uveitis |
Depends on the underlying cause 1. Corticosteroids (inflammation) but only for active inflammation. 2. Immunosuppressive agents Cyclosporins, Azithro and Methotrexate 3.Surgical intervention 4. We will comanage these will other physicians 5. ONLY TREAT THE ACTIVE INFLAMMATION **we must do a dilated eye exam. |
|
|
Fuchs Heterochromic Iridocyclitis |
Have heterochromia -Chronic unilateral ocular inflammation -will have periods of moderate acute flare ups -A LOT will develop Chronic OAG **Will be unilateral, one eye l=will be much lighter than the other. OR in lighter colored eyes, you might get reverse heterochromia which means the lighter pigment goes away only leaving the heavily pigmented endothelium left |
|
|
Signs of FHI |
Unilateral ** Triad= * Heterochromia due to iris atrophy * Stellate KPs * Cataract mostly PSC |
|
|
which one of these is not a sign of FHI? A. Iris Atrophy B. Mutton fat KPs C. PSC |
B. Mutton Fate KPS ** remember these will have stellate KPs |
|
|
Clinical signs of FHI |
1-2+ cells that is not responding to steroids no Post Syn Koeppes and Busacca nodules Iris Rubeosis (NVI) Mild Vitritis |
|
|
Tx for FHI? |
no real Tx, just use cortico steroids if there is a flare up *these generally have a solid prognosis |
|
|
Intermediate Uveitis |
In the anterior Vitreous and peripheral retina ***VITREOUS IS THE PRIMARY SIGHT OF INFLAMMATION*** * Pars planitis account for about half of the Intermediate Uveitis cases * posterior cyclitis * Hyalitis |
|
|
what is the most common cause of Intermediate Uveitis? |
inflammation of the anterior vitreious from Pars Planitis |
|
|
Systemic diseases involved with Intermediate uveitis |
Sarcoidosis, MS and IBS |
|
|
infectious causes of Intermediate Uveitis |
Epstein Barr, Lyme disease, cat scratch fever and Hep c |
|
|
Which one of these cant cause intermediate Uveitis? A. Lyme disease B. Sarcoidosis C. Epstein Barr D. MS E. IBS |
ALL of these are causes of intermediate Uveitis |
|
|
What are all the systemic and Infectious causes of Intermediate Uveitis |
Systemic= MS, Sarcoidosis and IBS Infectious= Lyme Disease, Epstein Barr Virus and Cat scratch fever and Hep C |
|
|
Causes of intermediate Uveitis |
M Ib S=Systemic L E Cat C MS, IBS, Sarcoidosis Lyme disease, Epstein Barr, Cat Scratch Fever Hep C |
|
|
Presentation of Intermediate Uveitis |
Bilateral and Asymetric in 80% of cases 33% of the Unilateral cases become Bilateral |
|
|
Pars Planitis |
Idiopathic with no Associated Disease Bilateral NOT CAUSED BY SYST or INF |
|
|
what brings the patients to the office |
Floaters Gradual onset of blurred vision from Macular Edema LACK OF PAIN AND PHOTOPHOBIA |
|
|
What exam finding would you find with somebody with intermediate Uveitis? |
PVD, Phlebitis, snowballing and snowbanking Macular edema |
|
|
What would you Find in a patient who has Intermediate Uveitis? |
Periphlebitis, PVD, snowballing and snow banking MORE THAN LIELY THE CAUSE OF VISION LOSS FOR Int UV is because CYSTOID MACUAR EDEMA |
|
|
Why do patients with Intermediate Uveitis not come in with pain or photophobia but really just have gradual vision loss and floaters? |
Intermediate uveitis doesn't affect the cilliary body so there isnt any pain or dilation involved. Patient will have decreased vision due to most likely Cystoid Macular edema |
|
|
What is the primary cause of vision loss with Intermediate Uveitis? |
80% of the cases are from Cystoid macular Edema |
|
|
When would you treat Intermediate Uveitis? |
only when vision is affected This will burn itself out and leave remnants of it being there |
|
|
Posterior Uveitis Multifocal Choroidopathy Syndromes |
Vitritis, Vasculitis and retinitis Mostly systemic causations only about 25% are idiopathic WE grade this by looking how well we can see the posterior Pole |
|
|
Signs and Sx of Posterior Uveitis Multifocal Choroidopathy Syndromes |
Usulaly painless more likely to cause visual impairment due to the macular edema than AAU or Intermed |
|
|
Sx of Choriopathy posterior Uveitis |
Mild Floaters mild Ant seg inflammation Vitritis Vascular sheathing (exudates around vessles) |
|
|
HLA B27 |
Tests for NON-Infectious uveitis (UCRAP) |
|
|
All non-infectious Uveitis |
Behcets JIA FHI Sarcoidosis VKH HLA-B27 |
|
|
HLA B27 associated AU |
50% of all AU higher chance of recurrence compared to other HLA B27 (-) AUs Hypopeon in about 15% of patients |
|
|
Complications of HLA B27 |
Post Syn Cataracts CME These generally require longer and stronger Tx |
|
|
Ankylosing Spondylitis (AS) |
***key Sx is Photophobia** lower back pain or pelvic pain that get better with exercise (early sign of Sacroilitis) |
|
|
Which disease is more likely to cause Uveitis? AS or Peripheral Arthritis? |
Peripheral Arthritis |
|
|
d |
d |
