Uveitis Flashcards
Keratoderma blenhoracicum
Reitera
Ddx of erythema nodosum (cubs)
Chrons
Ulcerative colitis
Behcets
Sarcoid
Hypoyon uveitis
Back hurt in am?
B27
Ankylosing sponylitis
Recurrent alternating uveitis
Ddx of heterochromia?
Siderosis (darker iris)
Congenital horners
Fuchs
Waardenberg sx (white forelock broad nasal bridge heterochromia)
What are the hla b27 ass uveidities?
1) reiters
2) ankylosing sponylitis
3) ibd
4) psoriasis
What does uveitis wu include and what are you looking for?
1) cbc
2) esr
3) crp
4) rf - lupus
5) ana- lupus or jia
6) anca- wegeners
7) ace - sarcoid leprosy
8) lysozyme- mirrors sarcoid activity
9) rpr/vdrl
10) fta
11) lyme ab- may be false pos in hiv
Which uveitic conditions do you need immunomodulators?
So
Vkh
Behcets
Jia
Which dz has fusion of sacroilliac joint?
Ankylosing spondylitis
Sausage digits
Psoriatic arthritis
Signs of fuchs 5
1) heterochromia
2) amsler sign
3) stellate kp
4) high iop
5) unilateral
Phacoanalyactic galucoma
Sp trauma w rupture of capsule inflammation to lens material
Kawaskis symtoms and tx
Strawberry tongue Bulateral conjunctivitis Kids <5 yo Fever Ant uveitis
Give asa!!!
Do not give steroids can cause coronary artery aneurysm
Para planitis
1) cause
2) uni or bilateral?
3) hla associations
4) symptoms
5) rx
1) ideopathic
2) bi
3) hla dr 15
4) floaters snowballs and banks
5) stk
Lyme
1) symptoms
2) diagnostic trst
3) rx systemic
4) rx eye
1) fever Malaise Joint pain Rash Bells palsy Nummular keratitis Follicular conjunctivitis 2) elisa followed by west blot 3)tetracycline or erythromycin 4) retisert
Ohs triad
1) ppa
2) punched out lesion
3) cnv
Bartonella
1) rx
2) ass w what syndrome
3) retinal finding
1) tetracycline (ex doxy) or bactrim
2) perinauds oculogladular conjunctivitis- lymph nodes w graulomas and conjunctivitis
3) neuroretinitis
Dusn
1) acronym
2) worms
3) signs
1) diffuse unilateral subacute neuroretinitis
2) anklystoma (dog) and bailyascris (racoon)
3) pigmentary retinopathy and optic atrophy
Apmppe
1) uni or bi
2) who and when
3) fa pattern
1) acute posterior multifocal placoid pigmenta epitheliopathy
2) bilateral
3) young men and women sp viral illness
4) block early stain late
Mewds
1) uni or bi
2) pattern on fa
1) uni
2) wreath like pattern
Birdshot complication
Cme
Serpiginous vision loss
Cnv
What other syndrome is mewds ass w?
Amn (acute macular neuroretinipathy)
Enlargement of blind spot and wedge shaped lesion in macula
Which 2 wds are on the same spectrum of dz?
Pic and mcp
Both have cnv as compliaction
Pic
1) uni or bi?
2) synptoms
Bilateral (only mewds really uni)
Cnv 1/3
Scotomas or photopsoas
Resolves 4-6 wks
Serpiginius lose vision from
Cnv
Retinial phlebitis ddx
1) sarcoid
2) lupus
3) eales
4) ms
5) behcets
When might lyme be false +?
Hiv or ebv
Retinal arteritis ddx
1) arn
2) pan (p anca)
3) sle
4) susacs
Sarcoid ros includes
Erythema nodosum Lymphadenopathy Lupus pernio (granuloma on face usually next to nose)
Rx of sarcoid
Steroids and immunosuppressives
Bechets ros
Oral ulcers Genital ulcers Erythema nodosum Arthritis Gi issues
How do you test for behcets
Pathergy test (prick skin and pustule will form)
Hla b51
Rx cyclosporine
Oral ulcers in whom is it painful and in whom is it painless?
Behcets- painful
Reiter- painless
Where is the old silk route?
Japan thru asia to mediterrainean
Behcets
Who gets vkh?
Asians
Native americans
Hispanics
Which hla for vkh?
Dr4
Big difference between so and vkh?
So spares the choriocappillaris
Whats the rx of syphillis
Pcn g 2-5 mill units iv q4 x 10 days
How do u treat syphillis if pcn all?
Doxycycline 200 po bid 15 days
What must u do w syphillitic uveitis
Lp bc its neuro syphillis
Bamboo spine
Ankylosing spondylitis
What 2 techniques use polarization to assess pot acuity in dense catract?
Hadinger brush
Maddox rod orientation
Whats the optical principle behind night myopa?
Spherical abberation
Lights bends differently whether it goes thru center or edge of a lens
At what wavelength is light sent into eye in fa and what wavelength is emitted?
485 sent in
530 emitted
Ddx ring infiltrate
Path
Pseudomonas
Acanthombea
Topical anesthic abuse
Herpes
How does retinoscopy work?
At neutralization the far point of the eye coincides w the peephole of the retinoscope, so the pupil appears to fill with light. When the far point of the eye is in front of or behind the examiner only some of the light returning from the eye goes thru the retinoscope peephole. If the eye has too much plus power, the light is inverted before it reaches the ovserver and it appears as “against” movement”
What devices use the principle of optical doubling?
Goldmann applination
Keratometry
Pachymetry
How does an old fashioned and modern pachyneter work?
Old fashioned based on optical doubling and attached to the sl
Newer uses ultrasound
Name 5 ways to eval k topography
Keratometer Placido disc Videokeratometry Wavefront analysis Pentacam topography
How does an applination tonineter work?
Uses optical doubling principle
Applinated area is 3.06 mm in diameter. Force is read off in dynes and is converted to mm hg.
If theres signif astigmatism you should rotate the prism so the red mark alignes w the axis of the pts minus cylinder
Whats the magnification of the retina using a direct ophthalmosvope?
15x
Uses eye as simple magnifier
60/4=15
Whats the mag of the retina if using a 20D lens?
60/20= 3
What can you do if pt has momocular diplopia?
Put up pinhole. It usually makes the siplopia gonaway
How can you treat a pt w monocular diplopia?
First do careful refraction
Check for surface irregularities
Can give pilo to reduce spherical aberation
Pt unhappy w glasses what should you check?
Sphere Cyl Axis Prism Base curves w lens clock Vertex distance Optical centers Coatings and tints
Whats the ddx for multiple cranial neuropathy? Can have visual disturbance? Poss labile bp
Cc fistula Cav sinus syndrome Pit apoplexy- give hydrocort imm Tolosa hunt Tumor/met Mucor
What do you want to check for w naion?
Disc at risk Ho viagra Smoking Hvf-alt defect Color desat
What symptoms do you ask about for gca besides jaw claud and scalp tender?
Weight loss Anorexia Fatigue Myalgias Fever Chills
Amaurosis fugax ddx
Gca Iih (tvo) Crao/plaque Hypercoaguabiloty Collagen vasc dz
Lhon treatment
Avoid etoh
Avoid smoking
Co enz q
Ekg bc can get wolf prk white
How do you test acuity in preverbal child?
Okn Ff Blink to light Pref looking (teller card) Hotv matching game Allen figures Vep
Can cin met?
Yes!!!!
To orbit or even met
Image orbit and get met wu
What are risk factors for scc of eyelid
Sun exposure
Hpv
Immunocomp status
Arsenic exposure
Managemnet of scc of eyelid?
Just like bcc
But rarely can met to orbit
Whats the ddx of rp?
Pseudo rp- mellaril use or syphillis
Rp
Rp syndromes
What are the rp syndrome?
Bassen kornsweig Kerns sayre Ushers Refsum dz Bardet biedl Lca
Whats the ddx for rama?
Irvan Coats Dr Valsalva Mac tel
Wu for rama
Fbs
Check bp
Check lipids
