Uveitis

Question 1

What is the uvea?

Answer 1

Middle vascular layer of the eye

Question 2

What does the uveal tract consist of?

Answer 2

1) Choroid
2) Ciliary Body
3) Iris

Question 3

What are the classifications of uveitis?

Answer 3

1) Anterior Uveitis
2) Intermediate Uveitis
3) Posterior Uveitis 1ry site
4) Panuveitis

Question 4

Where is the primary site of anterior uveitis?

Answer 4

Anterior chamber

Question 5

Where is the primary site of intermediate uveitis?

Answer 5

Vitreous

Question 6

Where is the primary site of posterior uveitis?

Answer 6

Choroid

Question 7

Anterior uveitis includes:

Answer 7

1) Iritis
2) Anterior cyclitis
3) iridocyclitis

Question 8

Intermediate uveitis includes:

Answer 8

Pars Planitis

Question 9

Posterior uveitis includes:

Answer 9

1) Choroiditis
2) Retinitis
3) Chorioretinitis

Question 10

Most common cause of anterior uveitis?

Answer 10

Idiopathic

Question 11

Most common cause of posterior uveitis?

Answer 11

Toxoplasma

Question 12

Uveitis signs & symptoms:

Answer 12

1) Pain
2) Excessive tearing
3) Ciliary injection
4) Photophobia
5) Blurry vision
6) Floaters

Question 13

Medical history is important in uveitis because 50% of patients have __.

Answer 13

A systemic disease

Question 14

What does a slit lamp exam show in uveitis?

Answer 14

1) WBCs circulating in the aqueous humor of the anterior chamber
2) Protein leaks from the blood
vessels, picked out by its light scattering properties in the beam of the slit lamp as a ‘flare’

Question 15

What does a pupillary exam show in uveitis?

Answer 15

1) Direct & consensual photophobia
2) Pupillary miosis

Question 16

What signs are present in the “inflammatory” phase of anterior uveitis?

Answer 16

Dilated vessels

Question 17

What signs are present in the “Inflammatory cells and protein exudates in the A.C” phase of anterior uveitis?

Answer 17

1) Aqueous cells
2) Flare
3) Hypopyon

Question 18

What signs are present in the “Adhesions and clumping of inflammatory cells + fibrin deposition” phase of anterior uveitis?

Answer 18

1) Keratitic precipitates
2) Posterior synechiae
3) Peripheral anterior synechiae

Question 19

What are keratitic precipitates?

Answer 19

Clumped inflammatory cells on the endothelium of the cornea, especially inferior

Question 20

Iris + lens = __ synechiae

Answer 20

Posterior

Question 21

Iris + cornea = __ synechiae

Answer 21

Anterior

Question 22

What is posterior synechiae?

Answer 22

When the iris adheres to the lens and binds the pupil down

Question 23

Posterior synechiae may cause:

Answer 23

Pupillary block glaucoma

Question 24

The presence of synechiae indicates that:

Answer 24

The inflammation has been chronic, severe, or recurrent

Question 25

Intermediate and posterior uveitis signs:

Answer 25

1) Cells in vitreous
2) Retinal or choroidal foci of inflammation
3) Macular edema

Question 26

Where do you see Dalen–Fuchs nodules?

Answer 26

Uveitis

Question 27

A nonspecific workup is indicated if the hx & P/E
findings are unremarkable in the presence of uveitis that is:

Answer 27

1) Bilateral
2) Granulomatous
3) Recurrent

Question 28

What is the main treatment for uveitis?

Answer 28

1) Steroid eye drops if anterior
2) Systemic steroids if posterior
3) Steroid injection into the subtenon space

Question 29

In posterior uveitis/retinitis, visual loss may occur either
from:

Answer 29

1) Destructive processes caused by the retinitis itself (e.g. in toxoplasma or CMV)

2) Fluid accumulation in the layers of the macula (macular oedema)