What do patients experience before and after uveitis treatment

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To view more masterclasses download our ophthalmology app at • https://play.google.com/store/apps/de... • Uveitis:@0:10 • Uvea = Grape • Components Inflammation • 1. Iris Iritis • 2. Ciliary Body Cyclitis • 3. Choroid Choroiditis • 4. All Pan Uveitis • Uveitis – Classification 1:@0:46 • Intermediate Uveitis • Pars Planitis • Vitritis • 2. Anterior Uveitis: • M/C -70% • Iritis • Iridocyclitis [only pars plicata] • 3. Posterior Uveitis • Choroiditis • 4. Pan Uveitis • Sympathetic Ophthalmitis • Vogt Koyanagi Harada Syndrome • Uveitis – Classification 2 :@2:12 • CHRONIC UVEITIS : 3 months • GRANULOMATOUS : TB / Leprosy, Syphilis / Sarcoidosis • ACUTE UVEITIS: Acute onset • NON GRANULOMATOUS • Anterior Uveitis – Causes:@2:59 • Idiopathic [More common -50%] • HLA B-27 Spondyloarthropathies • Ankylosing Spondylitis [2nd MC] → young males • Inflammatory Bowel Disease • Psoriatic Arthritis • Reiter’s Syndrome [Reactive Arthritis] → Conjunctivitis, Urethritis, Arthritis [CUR] • 3. Juvenile Arthritis [JRA]: • Pauciarticular, ANA positive, RF negative • Contraindication for IOL implantation [as eye is inflammed] • Anterior Uveitis – Presentation@4:13 • SYMPTOMS → Sudden red eye with pain and loss of vision • SIGNS • Circumciliary Congestion • Bluish red • Radial • 2. Cells • WBC, Neutrophils present in AC • Elicited by Slit lamp examination • Earliest sign • Hallmark of activity • Anterior Uveitis – Presentation: • 3. Flare:@5:14 • Protein deposition in aqueous humor • Presents in severe Uveitis • Anterior Uveitis – Presentation: • 4. Keratic Precipitates@5:50 • Neutrophils Lymphocytes on coma • Arlt’s Triangle → Triangular area in the inferior part of cornea where KPs preferentially attaches • Diffuse KPs → KPs attaches all over the cornea • Seen in: @7:22 • Herpetic Uveitis • Fuch’s Heterochromic Iridocyclitis • Mutton Fat KPs → Look likes mutton fat • Seen in: Granulomatous Uveitis / TB / Leprosy / Syphilis / Sarcoidosis • Anterior Uveitis – Presentation: • 1. Keratic Precipitates • 2. Arlt’s Triangle • Mutton Fat KPs • Anterior Uveitis – Presentation@7:32 • 5. Iris Nodules: Seen in Granulomatous Disease • Koeppe’s Nodules → present on pupillary margin • Busacca’s Nodules → present on surface of Iris • Anterior Uveitis – Presentation: • 6. Synechiae!@8:12 • Anterior Synechiae → may cause Glaucoma • Posterior Synechiae → may cause Cataract • Festooned Pupil: • Small irregular pupil • Sign of posterior Synechiae • Anterior Uveitis – Presentation@9:26 • 7. Miosis • 8. Low IOP → initially • 9. Hypopyon • Collection of pus in AC • Feature of Severe Uveitis

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