Uveitis

Question 1

What are types of iris nodules?

R they assoc w granulomatous or non-gran?

Answer 1

Busacca - anterior iris
-granulomatous only

Koeppe - pupil border
-gran and non gran

Berlin - angle of AC
- gran only

Question 2

White stellate KP
Dx?
Other findings?
Treatment?

Answer 2

Fuchs heterochromic iridocyclitis

Min AC Rxn
Iris of affected side paler (stromal atrophy)
Fine angle vessels (can bleed w gonio, AC para or Surg)

Tx: none needed
(poor response to steroids)
-manage cats and glaucoma if necessary

Question 3

Fever, parotid enlarged, bells palsy, anterior uveitis

Syndrome?

Answer 3

Heerfordt

Assoc w sarcoid

Question 4

Lacrimal and parotid gland swelling w dry eye

Syndrome?

Answer 4

Mikulicz

• think of miklasz eating (chubby cheeks) and crying (lac gland)
• assoc w sarcoid, TB, lymphoma or leukemia

Question 5

Hilar lymphadenopathy, erythema nodosum, anterior uveitis, arthralgia
Syndrome?

Answer 5

Lofgrens syndrome
“Lung”
Assoc w sarcoid

Question 6

Which white dot syndrome is unilateral?

Answer 6

MEWDS

“Mew-nilateral”

Question 7

Hla b51 is assoc w what?

Answer 7

Behcets
-can also do skin test for hypersensitivity

• oral, genital ulcers, vasculitis
• explosive inflammation
• posterior > ant uveitis
• tx: systemic steroids
• chlorambucil (cytotoxic)
• colchicine prevents recurrence
• or cyclosporine or plasma pheresis

Question 8

What r dalens Fuchs nodules associated with? Where r they located histologically?

Answer 8

SO and VKH (also TB and sarcoid)

Between RPE and Bruchs