Anterior Uveitis Flashcards
What is anterior uveitis?
it’s a pathologic inflammation of any of the structures of the uveal tract, that disrupts the blood-ocular barrier with leukocytes and protein leakage.
What are the types of inflammation of the anterior chamber?
Iritis, Iridocyclitis, Anterior cyclytis
How long does anterior uveitis usually last?
6-12 weeks with/without therapy
Is anterior uveitis granulomatous or non-granulomatous?
non-granulomatous
What are the cells in granuloma?
predominantly macrophages and few lymphocytes
What are the common inciting granulomatous agents?
Bacteria, Fungi, exogenous foreign body, lipid, dermoid cyst or sarcoid
T/F Is TB a non-caseating granulomatous?
False. it’s a caseating granulomatous
What is panuveitis?
it’s inflammation involving two or more sites.
How can you describe uveitis?
By anatomic location, type of inflammation(granulomatous or non-granulomatou), laterality, duration (acute or chronic), causative factors, endogenous vs. exogenous (infectious, autoimmune, systemic or neoplastic).
T/F The relapse of chronic uveitis is more than 3 months.
False. Less than 3 months
How many times does it need the uveitis to come back in order to classify it as recurrent?
3 times
In what age group does uveitis most occur?
most prevalent in 20-50yrs, highly diagnostic in 15-20yrs. uncommon 70 yrs and beyond.
What are some causes to uveitis?
Trauma, infections, pars planitis, fuch’s heterochromic iridocyclitis and gastrointestinal disease are common among all age groups
Which ethnicity has a high frequency of ankylosing spondylitis, reiter’s syndrome and HLA-B27 diseases?
white
T/F Asians have highest incidence of Vogt-Koyanagi-Harada Syndrome and Bechet’s disease.
True
Which race have high incidence of Behcet’s disease?
Asians and Mediterranean
T/F Blacks, especially in female have a 20-30x higher incidence of uveitis due to sarcoidosis?
False. only 10-15x higher
Does stress increase the risk of uveitis?
Yes
What kind of ocular history questions you want to ask the patient with uveitis?
If they have any diseases, injury, surgery and if this is the first time they have uveitis
What are the clinical signs and inflammation of uveitis?
Rubor (redness), Tumor (swelling), Calor (heat), Dolor (pain). “RTCD”
T/F Acute uveitis is usually called the uveitis salute.
True. Because patients would put their hand on the head due to the pain
What are the exogenous uveitis?
trauma, ocular infection or allergic reaction
What are the endogenous uveitis?
Ocular disease (pars planitis, fuch’s heterochromic iridocyclytis, posner-schlossman glaucomatocyclitic crisis), and systemic diseases as well
Fuch’s heterochromic iridocyclitis is 90% _________.
Unilateral