Anterior

Question 1

HLA-B27 positivity - how often

Answer 1

20% of AAU

Question 2

Keratic precipitates - what are they made of

Answer 2

lymphocytes, plasma cells and macrophages

Question 3

Koeppe nodules - where

Answer 3

on the pupillary margin. may be the site of posterior synechiae formation. both granulomatous and non-granulomatous anterior uveitis

Question 4

Busacca nodules

Answer 4

iris stroma

Question 5

Iris ‘pearls’ - where

Answer 5

lepromatous chronic anterior uveitis

Question 6

roseolae

Answer 6

dilated iris vessels in syphilitic uveitis

Question 7

HLA-A29

Answer 7

Birdshot retinochoroidopathy

Question 8

HLA-B51 HLA B5

Answer 8

Behçet syndrome

Question 9

HLA-B7 and HLA-DR2

Answer 9

(Presumed) ocular histoplasmosis syndrome

Question 10

HLA-DR4

Answer 10

Sympathetic ophthalmitis, Vogt–Koyanagi–Harada syndrome

Question 11

Non-specific titratable cardiolipin antibody tests

Answer 11

RPR and VDRL

Question 12

ANA

Answer 12

juvenile idiopathic arthritism, higher risk of CAU

Question 13

Mydricaine® No. 2.

Answer 13

adrenaline and atropine

Question 14

Regional steroid injection

Answer 14

triamcinolone acetonide, methylprednisolone acetate. The peak action is at about 4 weeks, with a maximum duration of action of around 3 months

Question 15

Ankylosing spondylitis

Answer 15

scleritis, episcleritis, keratitis and mechanical ptosis

Question 16

Reactive arthritis

Answer 16

triad of non-specific urethritis, conjunctivitis (bi) and arthritis. mouth ulceration, circinate balanitis and keratoderma blennorrhagica

Question 17

Psoriatic arthritis

Answer 17

AAU occurs in approximately 7%; conjunctivitis, marginal corneal infiltrates and secondary Sjögren syndrome

Question 18

Fuchs uveitis syndrome - virus

Answer 18

rubella virus, HSV?, CMV?, toxoplasmosis?

Question 19

Fuchs uveitis syndrome - age and sex

Answer 19

average of 40 years old, no gender or racial predilection

Question 20

Fuchs uveitis syndrome - uni or bi

Answer 20

affected eye is hypochromic. In blue eyes, stromal atrophy allows the posterior pigmented layer to show through and become the dominant pigmentation - sometimes hyperchromic

Question 21

Russell bodies

Answer 21

Tiny crystals in Fuchs uveitis syndrome

Question 22

Amsler sign

Answer 22

vessels are typically the source of the haemorrhage sometimes seen on incision into the anterior chamber on cataract surgery in Fuchs uveitis syndrome (also AC paracentesis, ocular trauma, gonioscopy, applanation tonometry, spontaneously)

Question 23

Cataract surgery complications in Fuchs uveitis syndrome

Answer 23

Amsler sign, Poor mydriasis and the possibility of postoperative hyphaema, increased inflammation, worsening of glaucoma control and zonular dehiscence

Question 24

most common form of Juvenile idiopathic arthritis

Answer 24

Oligoarticular

Question 25

Oligoarticular Juvenile idiopathic arthritis - sex, age, %

Answer 25

Girls 5:1 boys, peak age of onset around 2 years, 20% uveitis

Question 26

Polyarticular (RF negative) - joints, sex,

Answer 26

five or more joints, F:M 3:1, at any age throughout childhood

Question 27

Polyarticular (RF positive)

Answer 27

low risk of uveitis

Question 28

Juvenile idiopathic arthritis - uvetitis, characteristics

Answer 28

arthritis first, Injection absent, chronic and non-granulomatous, Posterior synechiae, Band keratopathy and cataract, glaucoma, CMO

Question 29

Neonatal-onset multisystem inflammatory disease

Answer 29

Juvenile idiopathic arthritis. skin, joints and CNS. 50% recurrent anterior uveitis. absence of posterior synechiae and no tendency to glaucoma and cataract

Question 30

Whipple disease - ocular manifestations

Answer 30

Keratitis, anterior uveitis, vitritis, retinitis, vascular occlusion, and multifocal choroiditis, gaze palsy, nystagmus, ophthalmoplegia, papilloedema and optic atrophy. Oculomasticatory myorhythmia

Question 31

Tubulointerstitial nephritis and uveitis (TINU)

Answer 31

adolescent girls; renal disease first, Bilateral non-granulomatous, Disc and macular oedema, Intermediate, posterior or panuveitis may

Question 32

UVEITIS IN RENAL DISEASE

Answer 32

Tubulointerstitial nephritis and uveitis (TINU), IgA nephropathy (Berger disease)

Question 33

Birdshot retinochoroidopathy

Answer 33

HLA-A29

Question 34

Behçet syndrome

Answer 34

HLA-B51 HLA B5

Question 35

(Presumed) ocular histoplasmosis syndrome

Answer 35

HLA-B7 and HLA-DR2

Question 36

Sympathetic ophthalmitis, Vogt–Koyanagi–Harada syndrome

Answer 36

HLA-DR4

Question 37

Leprosy

Answer 37

• Anterior uveitis: chronic and low-grade; classically ‘plasmoid’ (prominent fibrin) • Iris pearls (pathognomonic) • Keratitis • Miosis and iris atrophy

Question 38

HLA-A2

Answer 38

Juvenile idiopathic arthritis