Complications of Uveitis

Question 1

Dx and Tx of white interpalpebral deposition in Bowman’s layer

Answer 1

calcific band keratopathy. epithelial debridement with EDTA chelation

Question 2

type of capsulorrhexis preferred in CE-IOL in uveitic patient

Answer 2

continuous curvilinear

Question 3

IOL of choice for most uveitic patients

Answer 3

hydrophobic acrylic PCIOL in the bag

Question 4

relative contraindications to IOL implantation in uveitic patients

Answer 4

uncontrolled inflammation, rubeosis, h/o extensive membranes, hypotony

Question 5

high IOP 2 weeks after starting steroid therapy for anterior uveitis

Answer 5

most likely uncontrolled inflammation (esp infectious from herpes or toxo). steroid-induced very rare before 3 weeks.

Question 6

high IOP in uveitic eye, UBM shows anterior rotation of ciliary body. Tx?

Answer 6

steroids, aqueous suppressants, and cycloplegia to induce posterior rotation of CB. PI is NOT helpful in acute setting because pupillary block is not the mechanism

Question 7

tx of iris bombei 2/2 uveitic posterior synechiae

Answer 7

large, multiple PIs. If not successful, then surgical iridectomy

Question 8

IOP lowering meds of choice for steroid-induced ocular hypertension

Answer 8

aqueous suppressants (beta blockers, CAIs, alpha-2 agonists). prostaglandins are controversial in setting of inflammation. NO MIOTICS!! (no pilocarpine)

Question 9

Management of steroid-indued glaucoma not controlled with meds

Answer 9

tube > trab. laser not helpful (causes inflammation)

Question 10

preferred location for sub-Tenon injections

Answer 10

superotemporal (ST for Sub-Tenon)

Question 11

higher risk of IOP increase in fluocinolone or dexamethasone implant?

Answer 11

fluocinolone

Question 12

best vision at which visual rehabilitation referral can be made

Answer 12

20/40