Anterior Uveitis Flashcards

1
Q

What is another term for anterior uveitis?

A

Iritis

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2
Q

What is anterior uveitis?

A

It is defined as a condition in which there is inflammation of anterior compartment of the uvea – including the iris and ciliary body

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3
Q

What are the two classifications of anterior uveitis?

A

Acute Anterior Uveitis

Chronic Anterior Uveitis

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4
Q

What is acute anterior uveitis?

A

It is is defined as anterior uveitis which persists for a period less than three months

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5
Q

What is chronic anterior uveitis?

A

It is is defined as anterior uveitis which persists for a period greater than three months

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6
Q

What are the eight risk factors associated with anterior uveitis?

A

HLA-B27 Positive

Ankylosing Spondylitis

Reactive Arthritis

Inflammatory Bowel Disease

Sarcoidosis

Syphilis

Tuberculosis

Herpes Virus

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7
Q

What are the eleven clinical features of anterior uveitis?

A

Acute Dull Eye Pain

Eye Erythema

Reduced Visual Acuity

Vision Floaters

Photophobia

Lacrimation

Miosis +/- Irregular Pupil Shape

Ciliary Flush

Ciliary Injection

Hypopyon

Posterior Synechiae

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8
Q

Describe the eye pain associated with anterior uveitis

A

It is worse upon eye movement

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9
Q

What is ciliary flush?

A

It is a red ring which spreads from the cornea outwards

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10
Q

What is ciliary injection?

A

It refers to dilated conjunctival vessels, which are concentrated around the border of the cornea

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11
Q

What is hypopyon?

A

It is the collection of pus and inflammatory cells in the anterior chamber

This results in white fluid level visible in the anterior chamber

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12
Q

What is posterior synechiae?

A

It refers to adhesions between the lens and pupil

This distorts the shape of the pupil

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13
Q

What is the most appropriate next step in cases of suspected anterior uveitis?

A

Urgent referral to ophthalmology

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14
Q

What are the two pharmacological management options of anterior uveitis?

A

Topical Corticosteroids

Topical Cycloplegics

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15
Q

What is the first line management option of anterior uveitis?

A

Topical Corticosteroids & Topical Cycloplegics

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16
Q

How are topical corticosteroids used to manage anterior uveitis?

A

They reduce inflammation within the anterior chamber

17
Q

How are topical cycloplegics used to manage anterior uveitis?

A

They are antimuscarinics which block the action of the iris sphincter muscles and ciliary body

This results in pupil dilation and prevents ciliary spasm

18
Q

Name two topical cycloplegics used to manage anterior uveitis

A

Cyclopentolate

Atropine