Uvea (uveitis 1)

Question 1

Classification of uveitis
(Anatomically)

Answer 1

1. Anterior
2. Intermediate
3. Posterior
4. Panuvitis
5. Endophthalmitis
6. Panophthalmitis

Question 2

Classification of uveitis
(Clinically)

Answer 2

1. Acute
2. Chronic
3. Recurrent

Question 3

Classification of uveitis
(Pathologically)

Answer 3

1. Non-granulomatous
2. Granulomatous

Question 4

Etiology of uveitis [7 points]

Answer 4

1. Infective
2. Allergic
3. Toxic
4. Traumatic
5. Uveitis associated with systemic disease
6. Idiopathic
7. HLA

Question 5

Infective uveitis

Answer 5

1. Bacterial
   - granulomatous (TB)
   - non (strepto)
2. Viral (HSV, HZV, CMV)
3. Fungal (candida&aspergillus)
4. Parasitic (toxoplasma&toxocariasis)

Question 6

Symptoms and signs of uveitis [7]

Answer 6

1. Dull aching pain
2. Redness
3. Lacrimation
4. Photophobia
5. Blepharospasm
6. Floaters
7. Defective vision

Question 7

Causes of defective vision in uveitis

Answer 7

1. Corneal haze (oedema & KPs)
2. vitreous haze
3. Turbid aqueous
4. Complicated cataract
5. Macular oedema
6. 2ry glaucoma

Question 8

Signs of uveitis

Answer 8

1. Lid oedema
2. Circumcorneal congestion
3. Corneal oedema
4. Keratic precipitates KPs
5. Aqueous cells and Aqueous flares.
6. Hypopyon
7. Iris nodules
8. Posterior synechia
9. Occlusio pupillae

Question 9

What is KPs?

Answer 9

Proteinaceous deposits in endothelium

Question 10

Types of KPs

Answer 10

1. Mutton fat KPs
2. Granular KPs
3. Old KPs

Question 11

Different between mutton fat and granular KPs

Answer 11

1. Granular KPs with non Granular uveitis.
2. Mutton fat is larger and waxy (granular is small and dusty)

• mutton fat =Epithelioid cells & macrophages
• granular = lymphocytes

Question 12

Two types of iris nodules

Answer 12

Koepp’s nodules (pupillary margin)
Busacca’s nodules (near the collateral)

Question 13

What is the different between seclusio pupillae and Occlusio pupillae

Answer 13

seclusio pupillae
360° posterior synechia
Occlusio pupillae
organized exudates occluding pupillary area

Question 14

Complications of uveitis

Answer 14

1. Cataract.
2. Glaucoma.
3. Cystoid macular oedema
4. Band keratopathy.
5. Tractional retinal detachment.

Question 15

Investigations for uveitis

Answer 15

1. USG.
2. angiography.
3. Optical topography.
4. Genral ( blood, skin, chest)

Question 16

Treatment for uveitis

Answer 16

1. Mydriatic-cycloplegic.
2. Steroid/NSAIDs
3. Anti-glucoma.
4. Antibiotic.
5. Immunosuppressive.

Question 17

Complications of corticosteroid (on the eye)

Answer 17

1. Ptosis
2. Glaucoma
3. Cataract
4. Decrease healing
5. Super infection

Question 18

Surgeries in case of uveitis

Answer 18

1. Laser iridotomy
2. Surgical iridectomy
3. For cataract and glaucoma