Anterior uveitis Flashcards

1
Q

Pathophysiology?

A

Inflammation of the anterior portion of the uvea - iris and ciliary body.

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2
Q

Associated with which gene?

A

HLA-B27

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3
Q

Symptoms and signs?

A
  • acute onset
  • ocular discomfort & pain (may increase with use)
  • pupil may be irregular and small
  • photophobia (often intense)
  • blurred vision
  • red eye
  • lacrimation
  • ciliary flush
  • hypopyon
  • visual acuity initially normal → impaired
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4
Q

Associated conditions?

A
  • ankylosing spondylitis
  • reactive arthritis
  • ulcerative colitis
  • Crohn’s disease
  • Behcet’s disease
  • sarcoidosis: bilateral disease may be seen
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5
Q

Do you need to refer this?

A

Urgent review by opthalmology

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6
Q

Management?

A
  • Cycloplegics

- Steroid eye drops

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7
Q

Examples of cycloplegics?

A

Atropine, cyclopentolate

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8
Q

How do cycloplegics work?

A

Dilates the pupil which helps to relieve pain and photophobia.

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9
Q

What is a hypopyon?

A

This describes pus and inflammatory cells in the anterior chamber, often resulting in a visible fluid level

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