Uveitis Flashcards
Classification of uveitis
Anatomical
Duration
Clinical picture
Etiology
Etiological =
Infective:B V F P
Immune related
Idiopathic
Toxic
Traumatic
Uveitis associated with non infective sys. Disease
IRITIS
INFLAMMATION OF IRIS
Iridocyclitis
Inflammation of iris and pars plicata ( both equally involved)
Anterior cyclitis
Inflammation of pars plicata
Symptoms of iridocyclitis (anterior uveitis )
P
P
B
L
R
Signs of Ant. Uveitis
Lid edema
Circumcorneal congestion
Corneal signs
Ant. Chamber signs
Iris signs
Pupil signs
Lens signs
Vitreous signs
Fundus
IOP
Corneal signs
*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
Ant . Chamber signs
Aq. Cells
Aq. Flare
Hypopyon
Hyphaemia
Change in depth , shape and angle of ant . Chamber
Iris signs
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
Rubeosis Iridis
Neovascularisation of iris
Pupil
Constricted
Sluggish reaction
Irregular shape(feestoned pupil)
Occlusio pupillae ( pupil completely occluded by organisation of exudates )
Lens
Pigment dispersal on surface
Exudate deposited on surface
Complicated cataract (bread crumb appearance)
Vitreous
Opacity due to cells , protein
Cystoid Macular Edema
Fundus
Macular Edema
IOP
Variable
Complications
Cataract (complicated)
Glaucoma (secondary )
-Early glaucoma
-Late glaucoma
Late glaucoma
Cyclitic membrane
Choroiditis
Cystoid macular edema, macular star , hole
Papilitis
Band shaped keratopathy
Pthisis bulbi (end stage - eye becomes soft , shrink and atrophic )
Investigation
Hematological
Microscopy
Urine
Stool
Skin
Radiological
IOP
Treatment
Non specific
General
Specific
Tt of complication
Non specific : local
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
Non specific = systemic
Corticosteroid > prednisolone 60 -100 mg (daily or alternative day )
NSAID (aspirin , naproxen )
Immunosuppressive (when steroid fail )
Antibiotics for chlamydial infection
ANATOMICAL CLASSIFICATION OF UVEITIS
ANTERIOR UVETIS
INTERMEDIATE UVEITIS
POSTERIOR UVEITIS
PANUVEITIS
ANTERIOR UVEITIS
IRITIS
ANTERIOR CYCLITIS
IRIDOCYCLITIS
INTERMEDIATE UVEITIS
POSTERIOR CYCLITIS
PARS PLANITIS
HYALINITIS
