anterior Uveitis

Question 1

Anterior uveitis

Answer 1

involves anterior uveal tract
most common
can result in iritis, iridocyclitis (inflammation of both iris and pasrsplicanta
signs and symotms include: dilated BV, Infilteration of cells, spasm of sphinter muscle

Question 2

acute anterior uveitis

Answer 2

more common
can be a feature of a wide variaty of ocular conditions or secondary to infalm of the eye

Question 3

Acute anterior uveitis symptoms

Answer 3

rapid onset pain, photophobia, redness and watery discharge

can be preceeded by mild ocular discomfort for afew days

blurry vision = secere

Question 4

acute anterior uveitis signs

Answer 4

VA imapirment depends on severity of inflmmation

Va often only mildly reduced

ciliary injections

Question 5

Chronic anterior uveitis

Answer 5

less common

more common

assocaited with systemic disease

Question 6

Chronic anterior uveitis symotoms

Answer 6

can be insidious or acute onset

assymptomatic until development of complications

Question 7

Chronic anterior uveitis signs

Answer 7

VA variaability depends on severity of inflammation and pesence of complications
ciliary injection can be absent
granulomatous inflammation
Keratitic precipitates usually medium - large and may become pigmentated

Question 8

Miosis

Answer 8

Due to pupillary sphincter spasm - affected pupil smaller

Predisposed the formation of posterior synachae

Question 9

Anterior chamber cells

Answer 9

Num of cells should be espimated in order to grade pre dilation

cells will move as they are inactive current

Question 10

Hyopoyon

Answer 10

whitish plurent exudates composed of inflammatory cells

form in inferior part of anterior camber - form horozontal level under the influence of gravity

Question 11

Keratitic percipitates

Answer 11

deposits of / on corneal endothelium composed of inflammatory cells

often trangular pattern

can be inferior or uniform

Question 12

aqueous flare

Answer 12

hazyness of normally clear fluid in the AC
flare
makes the iris appear cloudy and out of focus
can be clinically graded

Question 13

fiverous exudates

Answer 13

in anterior chamber

Question 14

iris nodules

Answer 14

keoppe nodules located on pupillary margin and may be site on posterior synachae formation
Busacca nodules involve the iris stroma
yellowish nodule can appear from dialted iris nodule
iris pearls may be seen in acute anterior uveitis as well as iris crystals (rare)

Question 15

iris atrophy

Answer 15

diffuse stromal atrophy
pathy / sectoral atropjy
usually seen in herpes related atrophy

Question 16

posterior synachae

Answer 16

inflammatory adheasion between pupil margin and anterior lens capsule
iris can pull away and keave a bit of its self on the lens
likely to form at location of keoppe nodules
can develop rapidly
an be prevented using mydiratic agents
can cause iris bombe
must attempt to break before it becomes perminent

Question 17

iris neovas

Answer 17

new blood vessels form on iris
new vessels can be difficult to differenciate from normal dilated Bv
new BVs are active durring imflammation

Question 18

IOP

Answer 18

may be result of imapirment of aqueous secreations by ciliary epithelium
culd be elevated due to a variaty of mechanisms

Question 19

Treatmetn

Answer 19

topical steroids (predesilone)
cycloplegics to prevent posterior synchae
if affective then TAPER
if ineffective then increase frequency
if still ineffective then use systemic steroids
if cystoid macular oedema - periocular sterioids or systemic steroids