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Uveitis: Clinical Approach Flashcards

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0
Q

anterior, intermediate, posterior, panuveitis

A

four classifications of uveitis by anatomical classification according to the SUN working group

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1
Q

the middle, pigmented, vascular structures of the eye

A

describe the uvea

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2
Q

acute, insidious

A

two descriptors for uveitis onset according to the SUN working group

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3
Q

limited, persistent

A

two descriptors for uveitis duration according to the SUN working group

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4
Q

acute, recurrent, chronic

A

three descriptors for uveitis course according to the SUN working group

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5
Q

inactive, worsening activity, improved activity, remission

A

four descriptors for uveitis activity according to the SUN working group

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6
Q

CME, cataracts

A

two main causes of vision loss in intermediate uveitis

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7
Q

idiopathic, Behcet disease, seronegative spondyloarthopathies, infectious endophthalmitis

A

differential (4) for acute, sudden-onset, severe anterior uveitis

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8
Q

HLA-B27

A

only test that may need to be obtained in an idiopathic acute, sudden-onset anterior uveitis

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9
Q

HLA-B27, sacroiliac films

A

two tests that need to be obtained with suspected seronegative spondyloarthropathy-associated anterior uveitis

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10
Q

true

A

TRUE or FALSE: HLA testing is rarely done to confirm Behcet’s disease

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11
Q

sarcoidosis, traumatic, glaucomatocyclitic crisis, herpetic, syphilis, low-grade endophthalmitis, IOL-related iritis, idiopathic

A

differential (7) for moderate-severity anterior uveitis

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12
Q

syphilis

A

must be considered in a steroid-unresponsive anterior uveitis

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13
Q

glaucomacyclitic crisis, herpetic

A

anterior uveitis (2) with increased IOP

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14
Q

lysozyme, ACE, CXR

A

three screening tests for sarcoidosis

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15
Q

biopsy

A

confirmatory test in sarcoidosis

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16
Q

JIA-related iridocyclitis, Fuchs heterochromatic iridocyclitis, low-grade endophthalmitis, idiopathic

A

differential (4) for chronic anterior uveitis

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17
Q

sarcoidosis, Lyme disease, multiple sclerosis, intraocular lymphoma, pars planitis

A

differential (5) for intermediate uveitis

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18
Q

ELISA

A

test to be performed if lyme-related uveitis is suspected

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19
Q

vitrectomy, cytology

A

may need to be performed (2) for intermediate uveitis in a patient over 50

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20
Q

toxoplasmosis (prominent), toxocariasis, CMV retinitis (not prominent)

A

differential for focal chorioretinitis WITH vitritis (3)

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21
Q

geophagia

A

in a case of suspected toxocariasis, ask about this behavior

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22
Q

ELISA

A

tests for toxocara and toxoplasma

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23
Q

true

A

TRUE or FALSE: Acute anterior iritis usually implies a sudden onset.

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24
metastasis
Of concern in a focal chorioretinitis WITHOUT vitritis.
25
white dot syndromes, OHS
Two items on differential for multifocal chorioretinitis WITHOUT vitritis
26
onchocerciasis
Of concern in a diffuse chorioretinitis WITHOUT vitritis
27
true
TRUE or FALSE: A clinical appearance of granulomatous uveitis often does not correlate with pathological findings
28
lymphocyte
the predominant inflammatory cell of uveitis
29
false
TRUE or FALSE: Pigment dispersion is not a sign of anterior uveitis
30
nodules, vitiligo
two eyelid signs seen in uveitis
31
nodules, ciliary flush, diffuse injection
three conjunctival signs in uveitis
32
fibrin, keratic precipitates, pigment, band keratopathy
four corneal signs in uveitis
33
cell, flare, pigment
three AC/PC signs in uveitis
34
posterior synechiae, atrophy, heterochromia, miosis, nodules
five iris signs in uveitis
35
inflammatory cells, traction bands
two vitreous signs in uveitis
36
snowbanking
pars plana sign in uveitis
37
inflammatory cells, blood vessel cuffing, edema, CME, RPE changes, ERM
six retinal findings in uveitis
38
choroidal infiltrate, atrophy, neovascularization
three choroidal findings in uveitis
39
edema, neovascularization
two optic nerve findings in uveitis
40
1x1 mm, 45
dimensions and angle of parallelipiped in checking for cell and flare
41
1-5
number of cells in 0.5+ cell
42
16-25
number of cells in 2+ cell
43
>50
number of cells in 4+ cell
44
1-2
grading of flare if iris details clear
45
3+
flare grading: iris details hazy
46
4+
fibrinous or plasmoid AC are synonymous with this grade of flare
47
purulent
term for AC reaction with leukocytes and hypopyon
48
sanguinoid
term for AC reaction with leukocytes, erythrocytes, and hypopyon mixed with hyphema
49
Koeppe nodules
iris nodules at the pupillary border
50
Busacca nodules
iris nodules at the midpupil
51
Berlin nodules
iris nodules at the angle
52
1-10
number of vitreous cells in 0.5+ cell
53
21-30
number of vitreous cells in 2+ cell
54
>100
number of vitreous cells in 4+ cell
55
trauma, travel, eating habits, pets, sexual habits, drug use
basic historical elements that should be explored in a uveitis workup
56
naming-meshing system
system used to match a patient's presentation with a known uveitic entity
57
10%
percentage of all blindness in the US that can be attributed to uveitis
58
15 in 100,000
incidence of uveitis in the US
59
sarcoidosis, Behcet disease
two most common causes of uveitis in Japan
60
birdshot retinochoroiditis
type of uveitis seen particularly in western Europe
61
tuberculosis, leptospirosis
two leading causes of infectious uveitis in India
62
anterior-panuveitis-posterior-intermediate
list the anatomical types of uveitis by prevalence
63
tuberculosis, syphilis, sarcoidosis
three diseases that most uveitis specialists will rule out when the history is not suggestive
64
type 1 hypofluorescence
ICG pattern of early and late multifocal areas of hypofluorescence (inflammation of the choriocapillaris)
65
MEWDS
main cause of type 1 hypofluorescence on ICG
66
type 2 hypofluorescence
ICG pattern of early hypofluorescence and late hyperfluorescence (inflammation of the choroidal stroma)
67
VKH syndrome, sympathetic ophthalmia, birdshot retinochoroidopathy, sarcoidosis, APMPPE, serpiginous
major diseases with type 2 choroidal hypofluorescence
68
birdshot retinochoroiditis
ERG (cone flicker implicit time) is useful to follow this uveitic entitiy
69
cytology
should be obtained from a paracentesis specimen of a sanguinoid AC reaction
70
0.1-0.2 mL
amount of fluid that is usually withdrawn in an AC tap
71
infliximab
this anti-inflammatory is contraindicated in patients with MS
72
cyclophosphamide-bladder cancer, chlorambucil-leukemia
two major systemic alkylating agents and the neoplasms associated with them
73
toxoplasmosis, Fuchs heterochromatic iridocyclitis, herpes, CMV
uveitis entities associated with diffuse stellate KPs
74
aggressive hydration
practical suggestion to a person taking cyclophosphamide
75
POHS, PIC, punctate outer retinal toxoplasmosis, SSPE, serpiginous
posterior uveitis entities for which vitreous cell is very uncommon
76
Behcet syndrome, SO, VKH, necrotizing sclerouveitis
uveitis entities for which early immunomodulating therapy is classically beneficial
77
30 months
treatment duration of Retisert (fluocinolone) implant
78
metipranolol, bisphosphonates
only two medications that fulfill all the criteria for truly causing uveitis
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