Uveitis

Question 1

What is Uveitis (general)

Answer 1

Iridocylitis
*intraocular inflammation

Question 2

What are some causes of uveitis

Answer 2

1. Autoimmune process
2. Infections
3. Toxins exposure

Question 3

What is anterior uveitis

Answer 3

MC
1. Manifestation of systemic disease states
*inflammatory cells in aqueous humor deposit into the corneal epithelium

Question 4

What are common disease states that leads to anterior uveitis

Answer 4

1. Ankylosing spondylitis
2. behcet’s sarcoidosis
3. Herpes simplex
4. Herpes zoster

Question 5

What are the signs of anterior uveitis

Answer 5

Acute UNILATERAL pain
1. Presence of adhesions between iris and anterior lens capsule (synechiae)
2. Small pupils, irregularly shaped, poorly reactive
3. Circumcorneal conjunctival injection

Question 6

What needs to happen is someone presents with anterior uveitis

Answer 6

Urgent referral to ophthalmologist
1. Dark glasses
2. Dilation of pupils reduces pain
3. Topical glucocorticoids to reduce inflammation and scarring
4. If infectious
*antimicrobial therapy

Question 7

What is the prognosis of anterior uveitis

Answer 7

1. Should consider obtaining an MRI of the brain and spine
2. With tx symptoms go away in a few days or weeks
3. Relapses are common

Question 8

What are some complications of anterior uveitis

Answer 8

1. Cataracts
2. Fluid in the retina
3. Glaucoma
4. Retinal detachment
5. Vision loss