Inflammatory Diseases 2 Flashcards

1
Q

Ocular Sarcoidosis

A

granulomatous inflammatory condition involving primarily lymph nodes, lungs, and eyes

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2
Q

Presentation of Ocular Sarcoidosis

A

in colder climates and African Americans
anterior uveitis/ nodules
multifocal granulomas around ON, retina, choroid
snowballs; candlewax drippings

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3
Q

Diagnosing Ocular Sarcoidosis

A

definite- biopsy of lungs and conjunctival bumps

presumed- chest radiograph

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4
Q

Tx of Ocular Sarcoidosis

A

topical steroids for anterior uveitis

systemic steroids for posterior uveitis

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5
Q

Behcet’s Disease

A

idiopathic vasculitis with recurrent oral and genital ulceration
systemic- aneurysms, coronary artery disease, venous thrombosis

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6
Q

Presentation of Behcet’s Disease

A

anterior uveitis, mobile hypopyon
vitritis
retinal vasculitis, frequently occluded

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7
Q

Tx of Behcet’s Disease

A

topical steroids for ant uveitis
systemic steroids for post seg issues
immunosuppresants

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8
Q

VKH Syndrome

Vogt-Koyanagi-Harada

A

autoimmune inflammatory condition affecting melanin containing tissue- Uveal Tract in eye
Hispanic and Japanese

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9
Q

Symptoms of VKH

A

decreased vision
eye pain
red eyes
light sensitivity

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10
Q

Signs of VKH

A

bilateral uveitis, can be granulomatous
vitritis, papillitis, exudative choroiditis
elevated macula
sunset glow fundus

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11
Q

Systemic Signs of VKH

A

neurological
auditory
integumentary- poliosis

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12
Q

Tx of VKH

A

long term steroids

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13
Q

Sympathetic Ophthalmia

A

bilateral granulomatous panuveitis following penetrating ocular trauma
injury to one eye cause inflammatory rxn in other eye

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14
Q

Signs of Sympathetic Ophthalmia

A

bilateral granulomatous anterior uveitis

bilateral choroidal and sub-RPE infiltrates

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15
Q

Tx for Sympathetic Ophthalmia

A

long term steroids

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16
Q

Presentation of Posterior Scleritis

A

gradual, deep pain behind eye

slow decrease in vision

17
Q

Signs of Posterior Scleritis

A

exudative retinal detachment
choroidal folds
subretinal mass
disc edema

18
Q

Symptoms of Posterior Scleritis

A

diplopia on eye movements

19
Q

Diagnosing Posterior Scleritis

A

increased scleral thickness

fluid in Tenon’s Space

20
Q

Tx of Posterior Scleritis

A

systemic NSAIDs, steroids, anti-inflammatories