Posterior uveitis

Question 1

PU symptoms

Answer 1

reduced vision
floaters
no pain, redness or photophobia

Question 2

Signs

Answer 2

Retinitis - cloudy appearance of retina
retinal exudates
venous sheating
vitritis - cells, flare and opacitised vitreous
choroiditis - yellow or grey pathches in fundus
branch retinal vein occlusion
cystoid macular oedema
branch retinal artery occlusion

Question 3

sympathetic opthamia

Answer 3

uveal tissue trauma
penetrating eye injury - effects the opposite eye
granulomatous panuveitis
non-responsive to cortical steroids

Question 4

endopthalmitis

Answer 4

post opperative or traumaitc acute onset of pain and reduced vision
blood borne

Question 5

signs

Answer 5

decreased VA
red eye
fibrenous uveitis
cloudy AC
loss of red reflex- cloudy vitreous cells
hypopyon
iritis
proliferation of ciliary epithelium
lens degenerative changes
vitreous abcess
uveal tract thickness
secondary neovasculation

Question 6

Treatment

Answer 6

prompt diagnosis critical for any chance of regining vision
microbiological analysis of culture
ac tap and biopsy
intensive antibodies
mydraitcs
cortial steroids - topical, systemic used later to limit damage from systoid macular oedema