Uveitis

Question 1

What makes up uveal tissue?

Answer 1

Iris, choroid and ciliary body

Question 2

Where does intermediate uveitis occur?

Answer 2

Within ciliary body

Question 3

List some causes of uveitis?

Answer 3

HLA B27,
JIA
SLE
Behcets
Sarcoidosis
TB, HIV, Syphilis, Leprosy

Question 4

What are the symptoms of anterior uveitis?

Answer 4

Pain on accommodation (as pupillary sphincter muscle is inflammed) and aching pain

Question 5

What are the classic exam findings of anterior uveitis?

Answer 5

Reduced visual acuity, circumciliary injection, keratic precipitates, inflammatory cells in anterior chamber, miosis with posterior synechiae

Question 6

What causes iris bombe?

Answer 6

Apposition if the iris to the lens prevents aqueous from flowing from the posterior chamber to the anterior chamber. The pressure in the posterior chamber rises, causing a bowing of the peripheral iris, blocking the trabecular meshwork. This results in closed angle glaucoma

Question 7

What are the signs of posterior uveitis?

Answer 7

Inflammatory products
Macular oedema
Optic nerve swelling
Vascular sheathing

Question 8

How does posterior uveitis present?

Answer 8

Often asymptomatic but can have floaters and blurred vision

Question 9

How is anterior uveitis managed?

Answer 9

Topical steroid drops

Cycloplegics

Question 10

How is posterior uveitis managed?

Answer 10

Orbital floor steroid injection

Systemic steroids

Question 11

What is the most common cause of retinal detachment?

Answer 11

Posterior vitreous detachment