Uveitis and floaters

Question 1

What is uveitis

Answer 1

Inflammation of uveal tissue (choroid, cilliary body, iris)
-can be anterior, intermiediate, posterior, panueveitis

Associated w many autoimmune/inflammatory conditions

Question 2

Symptoms - Anterior uveitis

Signs

Answer 2

Red eye, aching, photophobia, blurred vision, pain on accomdation

Signs -
decreased visual acuity
conjuncticival injection
small or irregular pupil
Inflammatory products in AC (keratic precipitates)
Sequale (posterior synechiae, galucoma, cataract ect.)

Posterior synechiae - irus sticks down to lens
Cataract - due to low pressure, can collapse causign cataract
Glaucoma (iris bombe) - due to trabechular meshwork not working as well)

Question 3

High risk of developing uventiis if HSV from what sign?

Answer 3

Hutchinsons sign (dot on nose) - invovling eye branch of trigeminal nerve

Question 4

Posterior uveitis

S/S

Answer 4

Floaters
blurred vision
May have no pain or redness
Signs - infalmmatory products, chorioretinal inflammation’
-inflammatory seqaule - macular oedema, occlusions, optic disc swelling

-vascular sheathing (narrowing vessel walls)

Question 5

Sarcoidosis

Answer 5

Panuveitis

Optic neuropathy

Question 6

Management
Anterior

Posterior

Answer 6

Anterior

• topical steroids
• Pain relief, prevent posterior synechiae
• Topical.oral antivirals
• Local steorid injection
• Systemic injections

Posterior/panueveitis

• orbital floor/posterior steroid injection
• systemic steroids
• ab
• Antivirals
• Immunosuppresion

Question 7

Causes of floaters

Answer 7

• Posterior vitreous detachment
• Blood - neovascularisation (DM), torn peripheral retina
• Inflammatory products - posterior or intermediate uveitis

Question 8

History -floaters

Answer 8

onset, flashing lights, reduced vision, field loss (shield comign down)
PMH -
Systemic - DM, inflamatory