Uveitis

Question 1

Classification of uveitis
Anatomical
Duration
Clinical picture
Etiology

Answer 1

Etiological =
Infective:B V F P
Immune related
Idiopathic
Toxic
Traumatic
Uveitis associated with non infective sys. Disease

Question 2

IRITIS

Answer 2

INFLAMMATION OF IRIS

Question 3

Iridocyclitis

Answer 3

Inflammation of iris and pars plicata ( both equally involved)

Question 4

Anterior cyclitis

Answer 4

Inflammation of pars plicata

Question 5

Symptoms of iridocyclitis (anterior uveitis )

Answer 5

P
P
B
L
R

Question 6

Signs of Ant. Uveitis

Answer 6

Lid edema
Circumcorneal congestion
Corneal signs
Ant. Chamber signs
Iris signs
Pupil signs
Lens signs
Vitreous signs
Fundus
IOP

Question 7

Corneal signs

Answer 7

*Corneal edema
*Keratic precipitates (KP )= protineous cellular deposits that occur on the back of cornea
-Mutton fat KP (macrophages , granulomatous)
-Small and medium KP (lymphocytes, non granulomatous )
-old KP (signs of healed uveitis )
-Fine KP (covers entire epithelium)
*Posterior corneal opacity

Question 8

Ant . Chamber signs

Answer 8

Aq. Cells
Aq. Flare
Hypopyon
Hyphaemia
Change in depth , shape and angle of ant . Chamber

Question 9

Iris signs

Answer 9

Loss of normal pattern
Colour change
Neovascularisation
Posterior synechiae
Iris nodules :
koeppe’s nodules( on pupillary border )
Busacca’s nodules ( on peripheral part of ant. Surface

Question 10

Rubeosis Iridis

Answer 10

Neovascularisation of iris

Question 11

Pupil

Answer 11

Constricted
Sluggish reaction
Irregular shape(feestoned pupil)
Occlusio pupillae ( pupil completely occluded by organisation of exudates )

Question 12

Lens

Answer 12

Pigment dispersal on surface
Exudate deposited on surface
Complicated cataract (bread crumb appearance)

Question 13

Vitreous

Answer 13

Opacity due to cells , protein
Cystoid Macular Edema

Question 14

Fundus

Answer 14

Macular Edema

Question 15

IOP

Answer 15

Variable

Question 16

Complications

Answer 16

Cataract (complicated)
Glaucoma (secondary )
-Early glaucoma
-Late glaucoma

Question 17

Late glaucoma

Answer 17

Cyclitic membrane
Choroiditis
Cystoid macular edema, macular star , hole
Papilitis
Band shaped keratopathy
Pthisis bulbi (end stage - eye becomes soft , shrink and atrophic )

Question 18

Investigation

Answer 18

Hematological
Microscopy
Urine
Stool
Skin
Radiological
IOP

Question 19

Treatment

Answer 19

Non specific
General
Specific
Tt of complication

Question 20

Non specific : local

Answer 20

Cyclopegic =1% atropine sulfate ointment /drop ×3 times a day
Others : 2% homatrpine
Corticosteroids = dexamethasone , betamethasone, hydrocortisone , prednisolone > eyedrop 4 to 6 times a day , eye ointment , sub tenon injection in severe cases
Broad spectrum antibiotics

Question 21

Non specific = systemic

Answer 21

Corticosteroid > prednisolone 60 -100 mg (daily or alternative day )
NSAID (aspirin , naproxen )
Immunosuppressive (when steroid fail )
Antibiotics for chlamydial infection

Question 22

ANATOMICAL CLASSIFICATION OF UVEITIS

Answer 22

ANTERIOR UVETIS
INTERMEDIATE UVEITIS
POSTERIOR UVEITIS
PANUVEITIS

Question 23

ANTERIOR UVEITIS

Answer 23

IRITIS
ANTERIOR CYCLITIS
IRIDOCYCLITIS

Question 24

INTERMEDIATE UVEITIS

Answer 24

POSTERIOR CYCLITIS
PARS PLANITIS
HYALINITIS

Question 25

POSTERIOR UVEITIS

Answer 25

CHOROIDITIS
CHORIORETINITIS
RETINOCHOROIDITIS

Question 26

PANUVEITIS

Answer 26

INFLAMMATION OF UVEA AS A WHOLE