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What is Episcleritis ?
Inflamationof localiased superficial episclera vascular network, most
commonly diffuse (moderate to sever inflam @1-3 month intervals)
-Nodular/focal episcleritis (can often present with associated systemic
disease)
What are the classification of Allergic conjunctivitis?
type 1 hypersensitivity - seasonal (SAC)
perrenial - chronic (PAC)
Atopic - relates to eczema and athsma
gaint pappilary (GPC)
Limbal and tarsal kertaoconjuctivitis (VKC)
What is gaint pappilary Allergica conjunctivitis
inner lining of the eyelid swells and develops small bumps. Known as papillae,
these bumps tend to form after chronic irritation
,what can cause a corneal abbration?
Direct trauma
Foreign body between eyelid and
conjunctiva Heat by contact
UV radiation (Arc Eye)
What can cause corneal ulcer?
can be secondary to abrasive trauma, pentrating injuries or prolonged use of
contact lenses
What are dendritic ulcers?
Herpes simplex virus (HSV) keratitis is the most frequent cause of corneal
blindness.
- aggressive treatment -
Symptoms of Dendritic ulcers?
Pain
Photophobia
Blurred vision
Tearing
Redness
- with fluorescein staining and has a delicate branching pattern,
Appearance of dendritic ulcer on opthalmoscopy?
- infectious epithelial keratitis (with characteristic dendritic ulcers)
-neurotrophic keratopathy
-stromal keratitis endotheliitis (classified as disciform, diffuse, or linear)
,what are the symptoms of keratic precipitates and anterior uveitis
Pain, generally developing over a few hours or days except in cases of trauma:
Redness
Photophobi
a Blurred
vision
Increased lacrimation
Chronic anterior uveitis presents primarily as blurred vision and mild redness.
pain & photophobia normaly only during acute episode.
what are the symptoms of posterior Uveitis?
Blurred vision and floaters
Absence of symptoms of anterior uveitis (ie, pain, redness, and photophobia)
All parts of the posterior chamber may be affected, including the retina,
choroid and optic nerve. It can be caused by bacterial, fungal, viral and
parasitic infections.
What are the findings of posterior Uveitis upon opthalmoscopy?
posterior uveitis Showing candle wax drippings (white areas)
Anterior uventis is linked to which non infectious diseases?
-Ankyolising spondilitis,
-behcet syndrom (ulcers eye,mouth & genitals),
-IBS,
-Juvenile arthritis, sarcoidosis (Granulomatous disease),
-seronegative arthropathy
, Anterior uventis is linked to which infectious diseases?
HSV, SYphilis, TB & varicella zoster
Intermediate uventis (Cillary body to retina) is linked to which non-
infectious disease?
Lymphoma, MS and sarcoidosis
Posterior uventis (Retina, retinavvessels) and Panuverntis (iris, cilliary
body and choroid layer) - is linked which non-infectious diseases?
Behcets sydrome, lymphoma, sarcoidosis2
Posterior uventis (Retina, retinavvessels) and Panuverntis (iris, cilliary
body and choroid layer) - is linked which infectious diseases?
CMV, endogenous encephalitis, syphalis. TB and varicella
zoster Toxicaris & toxoplasmosis
Workup for suspected uveitis?
CBC, ESR, Antinuclear antibody (ANA),
Rapid plasma reagin (RPR)
Venereal disease research laboratory (VDRL)
Lyme titer
HLA testing for ankylosing spondylarthroses
Chest radiography (to assess for sarcoidosis or
tuberculosis) Urinalysis (for red blood cells or
casts)
Infectious workup (eg, HIV, toxoplasmosis), depending on the presentation