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Uveitis PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Uveitis”.

This medical PowerPoint presentation is about uveitis, an inflammatory condition affecting the uvea, the middle layer of the eye. The uvea consists of the iris, ciliary body, and choroid, and inflammation in any of these structures can cause uveitis.

Uveitis can be caused by various factors, including infections, autoimmune disorders, and trauma. It can affect individuals of any age, although it is more common in adults. Symptoms may include eye redness, pain, blurred vision, sensitivity to light, and floaters.

Treatment for uveitis depends on the underlying cause and severity of the condition. Treatment may involve the use of corticosteroids, immunosuppressive drugs, or biologic agents. In some cases, surgery may be necessary.

It is important to seek prompt medical attention if you experience any symptoms of uveitis, as untreated uveitis can lead to complications such as glaucoma, cataracts, and vision loss.

Tags : Uveitis, uvea, iris, ciliary body, choroid, Ophthalmology, Ophthalmology PowerPoint presentation

Published on : Jun 20, 2023 | Views : 2036 | Downloads : 5

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Slide 1-

Uveitis
Slide 2-

Introduction Uveitis : inflammation of uveal tract (iris, ciliary body & choroid) and of neighbouring structures(retina, vitreous, optic nerve)
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Clinical Classification(IUSG) IUSG classification
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Anatomical classification
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Pathological Classification
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Descriptors of Clinical Behaviour
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Approach to patient of Uveitis
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Approach to patient of Uveitis
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Approach to patient of Uveitis
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Approach to patient of Uveitis
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Ocular Signs
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Ocular signs
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Ocular signs
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Grading of AC cells
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Grading of AC Flare
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Signs
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KP: fibrous deposits on the posterior surface of the cornea, usually associated with uveitis. White, yellowish greasy precipitates of inflammatory cells Typically distributed in a wedge-shaped region on the inferior corneal endothelium, known as Arlt's triangle Both the size and distribution of keratic precipitates are helpful in the differential diagnosis. Signs
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AS Fibrin clot and posterior synechiae in a patient with acute, anterior uveitis and ankylosing spondylitis.
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Signs
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Iris atrophy in a patient with herpes simplex virus–associated anterior uveitis.
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Etiology of anterior uveitis Acute Idipathic HLA-B27 associated Ankylosing Spondylitis Reiter’s syndrome IBD Psoariasis Herpetic anterior uveitis(HSV and VZV) Posner Schlossman Syndrome Systemic diseases associated Diabetes Sarcoidosis TINU, IgA Nephropathy Chronic Non Infective Immune mediated Traumatic Neoplastic Idiopathic
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Etiology of anterior uveitis Chronic Fuch’s Heterochromic uveitis JIA
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Systemic signs
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Nongranulomatous Vs granulomatous Uveitis
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Differential Dignosis
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Differential dignosis
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When to Investigate In general, Investigations may be performed for: Diagnosis : by identifying causative or associated systemic disease;by identifying a definite aetiology Management:monitoring disease activity/complication(e.g.OCT for macular oedema);monitoring potential side-effects of treatment (e.g. Blood tests for some immunosuppressants.)
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Role of investigation Monitoring disease OCT FFA EDTs Visual fields
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Role of Investigation Monitoring Regular BP Weight BM Urinalysis Blood test
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Investigations in diagnosis of Uveitis types
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Investigations in diagnosis of uveitis type
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Complications Band keratopathy Cataract CMO Glaucomaous optic neuropathy Vitreous debris Retinal detachment Non-glaucomatous optic Neuropathy Choroidal neovascularization Subretinal fibrosis
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Treatment Medical or surgical Medical therapy Corticosteroid Topically Perioculary Intravitreally Systemically Cycloplegics Systermic immunosuppressants -Resistant,sight-threatening cases The use of anti-VEGF agents -Macular oedema
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Secondary ↑IOP Topical therapies -Avoid those causing uveitis and CMO Surgery Cataract, glaucoma Vitreoretinal procedures
Slide 39-

Fuchs heterochromic uveitis Rare , chronic ,young adults Unknown cause , no systemic association Mild ant uveitis,no signs of conjunctival inflamation, no ant synechia KPs diffusely distributed over the cornea Heterochromic iris due to loss of pigment epithelial cells. Inflamed vitreous 70% catarct Steroids are not effective and not prescribed,cataract surgery is done when indicated,and patients usually respond well
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Immune-mediated systemic disorders Spondyloarthritides such as ankylosing spondylitis and reactive arthritis, are the most common systemic immune disorders associated with uveitis 20-40 % Male >female typically unilateral, tends to resolve within three months of its onset. Recurrences are common, and can occur in the contralateral eye. The prognosis for this form of uveitis is generally excellent provided that acute attacks are treated early and vigorously
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Immune-mediated systemic disorders 7% psoriatic arthritis and 2 to 9 % of patients with IBD may develop uveitis, is frequently bilateral, posterior to the lens, insidious in onset, chronic in duration more common in females than males
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Immune-mediated systemic disorders Juvenile idiopathic arthritis (JIA) may be associated with uveitis, particularly in the subset of patients with pauciarticular disease and a positive antinuclear antibody. majority of patients asymptomatic.(white eye but with signs of uveitis present ) usually bilateral insidious in onset, chronic in duration, anterior. commonly associated with complications such as band keratopathy, posterior synechiae , cataract formation, and glaucoma.
Slide 43-

Immune-mediated systemic disorders 80 percent of patients with Behcet's disease develop uveitis typically bilateral. frequently episodic, generally does not resolve completely between episodes Retinal vasculitis is a frequent manifestation
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Behcet Male,young,bilateral , hypopyon