Ant Uveitis (Iridocyclitis)

Question 1

Symptoms of acute ant uveitis

Answer 1

Pain
Photophobia
Redness
Lacrimation
Decreased vision

Question 2

Symptoms of chronic ant uveitis

Answer 2

White eye
Minimal symptoms
Signs of severe inflammation

Question 3

Pain

Answer 3

Dull
Aching
Throbbing
Worse at night
Towards forehead and. Scalp

Question 4

Redness

Answer 4

Circumcorneal congestion (active hyperaemia)
Photophobia +Blepharospasm (reflex of orbicularis oculi)

Question 5

Lacrimation

Answer 5

Lacrimatory reflex from 7 th + 5th nerve

Question 6

Factors responsible for disturbed vision

Answer 6

Induced myopia (ciliary spasm)
Corneal haze (odema + KP)
Vitreous haze
Aqueous turbidity
Pupillary block
Complicated cataract
Cyclitic membrane
Papillitis
Macular oedema
Secondary glaucoma

Question 7

Corneal signs

Answer 7

Oedema
Keratic precipitates
Post corneal opacities

Question 8

Keratic precipitates (pathognomic sign)

Answer 8

Proteinaceous cellular deposits
Triangular due to convection currents

Mutton fat KP
Granulomatous (epithelioid cell)
Large, thick, fluffy, lardaceous
Greasy + Waxy
Small / medium KP
Non granulomatous (lymphocytes)
Small, discrete, dirty white, numerous
Fine KP
Stellate
Endothelial dusting
Fuchs heterochromic iridocyclitis
Old KP
Healed
Shink, fade, pigmented, irregular
Old mutton fat - ground glass (hyalinization)

Question 9

Ant chamber signs

Answer 9

Aqueous flare (earliest sign) (leakage of protein) (grades 0 - +4)
Aqueous cells (early)(grade -ve - +4)
Hypopyon (settled exudate)
Synechiae (post / annular)
Active stage (cellular deposits)
Chronic stage (peripheral ant synechiae)

Question 10

Iris signs

Answer 10

Lost normal pattern
Iris colour (muddy in active )(hyper + depigmented in healed)
Iris nodules
Koeppe’s nodules
Busacca’s nodules
Post. Synechiae
Segmental
Annular
Total