Autoimmune Inflammation of Eye

Question 1

what is episcleritis

Answer 1

benign self-limiting inflammation of the episclera

Question 2

s/s of episcelritis

Answer 2

pain on eye movement, segmental redness, FB sensation, watering of eye

Question 3

aetiology of episcleritis

Answer 3

AI aetiology- HLA B27, SLE

Question 4

mx of episcleritis

Answer 4

self-limiting- lubricating eye drops

Question 5

what is scleritis

Answer 5

more severe than episcleritis, inflammation of full thickness of scleritis

Question 6

what is the most severe type of scleritis

Answer 6

necrotising scleritis- may cause scleral perforation

Question 7

scleritis is associated with..

Answer 7

autoimmune conditions- RA, SLE, IBS, sarcoidosis, GPA

Question 8

s/s of scleritis

Answer 8

bilateral, acute onset, severe pain, photophobia, eye watering, tenderness to palpate eye, RAPD

Question 9

T/F: mx of scleritis is same as episcleritis

Answer 9

F: NSAIDs, steroids, immunosuppression

Question 10

anterior uveitis is inflammation of anterior part of urea i.e. the ____

Answer 10

anterior chamber (iris)- inflammation and immune cells in anterior chamber

Question 11

types of anterior uveitis and their associations

Answer 11

acute: HLAB27
chronic: granulomatous (sarcoidosis, lyme, TB, herpes)

Question 12

s/s of anterior uveitis

Answer 12

painful red eye, ciliary flush (ring of red around cornea), photophobia, floaters, posterior synechiae, hypoyon

Question 13

mx of anterior uveitis

Answer 13

steroids (predforte), atropine eye drops, immunosuppressants

Question 14

main complication of anterior uveitis

Answer 14

closed angle glaucoma

Question 15

ix for anterior uveitis

Answer 15

slit lamp, IOP tests (tonometry)