Uveal Tract (Uveitis I) Flashcards

1
Q

Classification of uveitis
(Anatomically)

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

Classification of uveitis
(Clinically)

A
  1. Acute
  2. Chronic
  3. Recurrent
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3
Q

Classification of uveitis
(Pathologically)

A
  1. Non-granulomatous
  2. Granulomatous
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4
Q

Etiology of uveitis [7 points]

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

Infective uveitis

A
  1. Bacterial
    - granulomatous (TB)
    - non (strepto)
  2. Viral (HSV, HZV, CMV)
  3. Fungal (candida&aspergillus)
  4. Parasitic (toxoplasma&toxocariasis)
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6
Q

Symptoms and signs of uveitis [7]

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

Causes of defective vision in uveitis

A
  1. Corneal haze (oedema & KPs)
  2. vitreous haze
  3. Turbid aqueous
  4. Complicated cataract
  5. Macular oedema
  6. 2ry glaucoma
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8
Q

Signs of uveitis

A
  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
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9
Q

What is KPs?

A

Proteinaceous deposits in endothelium

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10
Q

Types of KPs

A
  1. Mutton fat KPs
  2. Granular KPs
  3. Old KPs
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11
Q

Different between mutton fat and granular KPs

A
  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
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12
Q

Two types of iris nodules

A

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

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13
Q

What is the different between seclusio pupillae and Occlusio pupillae

A

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

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14
Q

Complications of uveitis

A
  1. Cataract.
  2. Glaucoma.
  3. Cystoid macular oedema
  4. Band keratopathy.
  5. Tractional retinal detachment.
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15
Q

Investigations for uveitis

A
  1. USG.
  2. angiography.
  3. Optical topography.
  4. Genral ( blood, skin, chest)
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16
Q

Treatment for uveitis

A
  1. Mydriatic-cycloplegic.
  2. Steroid/NSAIDs
  3. Anti-glucoma.
  4. Antibiotic.
  5. Immunosuppressive.
17
Q

Complications of corticosteroid (on the eye)

A
  1. Ptosis
  2. Glaucoma
  3. Cataract
  4. Decrease healing
  5. Super infection
18
Q

Surgeries in case of uveitis

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