4 - Opth - Acute red eye - Anterior Uveitis

Question 1

what is the uvea

Answer 1

the iris + ciliary body + choroid

Question 2

where does ant uveitis affect

Answer 2

iris and ciliary body in 75-90% of cases

Question 3

Most common in who? may be what? usually where?

Answer 3

most common in working age people
may be recurrent
usually unilateral but may alternate

Question 4

Presentation of Ant uveitis

Answer 4

pain
photophobia
circumcorneal redness
reduced VA
lacrimation
constricted pupil (due to iris spasm)

Question 5

What may be seen on a slit lamp imaging

Answer 5

inflam cells on corneal surface

cells and flare in aqueous

hypopyon

synechiae (iris and lens adhesion) - can lead to irregular pupil

Question 6

what percent of Ant uveitis is has an idiopathic cause

Answer 6

50%

Question 7

What disease is ass w/ Ant uveitis

Answer 7

ankylosing spondylitis
IBD
psoriasis
sarcoidosis

infections

Question 8

what infections are ass w ant uveitis

Answer 8

HSV/VZV, TB, Syphilis, CMV, toxoplasmosis

Question 9

Management of uveitis

Answer 9

topical steroids

cycloplegia to prevent synechiae

Question 10

Posterior and Pan-uveitis

• what do they affect?
• associations?

Answer 10

• choroid, retina and optic nerve head (posterior) OR all of uveal tract (panuveitis)
• ass w lymphoma, sarcoid, HSV/VZV, TB

Question 11

Intermediate uveitis - affects? features? associations?

Answer 11

• primarily affects vitreous
• floaters, decreased VA
• ass w MS, sarcoidosis, lymphoma