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Hypopyon can be a sign of what?
Corneal Ulcer
Posterior Uveitis
What is Posterior Uveitis?
inflammation of retina and/or vitreous
why is Post. Uveitis more likely to be associated with systemic disease?
the posterior eye is vascular, and thus indicative of vascular pathology
What are some possible underlying etiologies of PU?
Autoimmune dz (sarcoidosis)
Inflamm. Bowel Dz
Syphilis
TB
MS
Posterior Uveitis s/s
, pn, redness, blurred vision, photophobia
decreased VA, HYPOPYON,
Posterior Uveitis Tx
Tx underlying pathology if possible
Treat Sx:
*anti-inflam. drugs (including Steroids)
Abx when appropriate
*Urgent Referral to Ophthalm.
Choroiditis
NO D/C
Usually from infection
S/S- unilateral impaired vision
Injection
Tx - underlying cause (syphilis, TB)
use steroids if not infectious
referral to Ophthal
if you have difficulty visualizing the optic disc on exam, you should...
follow the pointing bifurcations back to the disc
why do optic veins pulsate?
they are in such close proximity to the optic arteries, the pulsing force is transferred to the weaker vein
and seen there.