Uveitis - Revision history

Elcatracho: /* Noninfectious */

2021-02-05T18:59:46Z

Noninfectious

← Revisión anterior		Revisión del 18:59 5 feb 2021
Línea 85:		Línea 85:
	***Dilate the iris		***Dilate the iris
	***Prevents the formation of synechiae		***Prevents the formation of synechiae
	***[[Cyclopentolate]] or [[~~Phenylephrine~~]] HCl		***[[Cyclopentolate]], [[homatropine]] or [[phenylephrine]] HCl
	**[[Cycloplegic]]s		**[[Cycloplegic]]s
	***Relieves pain		***Relieves pain

Elcatracho: /* Causes */

2021-02-05T18:58:37Z

Causes

← Revisión anterior		Revisión del 18:58 5 feb 2021
Línea 32:		Línea 32:
	**[[UV keratitis]]		**[[UV keratitis]]
	*Infectious (uncommon)		*Infectious (uncommon)
			**[[Corneal ulcer]]
	**[[TB]]		**[[TB]]
	**[[Lyme]]		**[[Lyme]]

NadavNahumi: /* Slit-lamp exam */

2020-03-19T02:57:28Z

Slit-lamp exam

← Revisión anterior		Revisión del 02:57 19 mar 2020
Línea 61:		Línea 61:

	===[[Slit-lamp exam]]===		===[[Slit-lamp exam]]===
	**Cell (WBCs from uveal vessels) & flare (proteinaceous transudate from uveal vessels)		*Cell (WBCs from uveal vessels) & flare (proteinaceous transudate from uveal vessels)
	**[[Hypopyon]] (with severe disease)		*[[Hypopyon]] (with severe disease)

	==Differential Diagnosis==		==Differential Diagnosis==

NadavNahumi: /* Anterior */

2020-03-19T02:56:43Z

← Revisión anterior		Revisión del 02:56 19 mar 2020
Línea 52:		Línea 52:
	***Causes consensual photophobia		***Causes consensual photophobia
	*Ciliary flush, marked injection at the limbus (as opposed to perilimbal sparing seen in conjunctivitis)		*Ciliary flush, marked injection at the limbus (as opposed to perilimbal sparing seen in conjunctivitis)
	*~~Poorly~~ reactive pupil		*Typically small, poorly reactive pupil

	===Posterior===		===Posterior===

NadavNahumi: /* Clinical Features */

2020-03-19T02:55:10Z

Clinical Features

← Revisión anterior		Revisión del 02:55 19 mar 2020
Línea 51:		Línea 51:
	**Due to ciliary muscle spasm which irritates CN V		**Due to ciliary muscle spasm which irritates CN V
	***Causes consensual photophobia		***Causes consensual photophobia
	*~~Limbic redness~~ (as opposed to perilimbal sparing seen in conjunctivitis)		*Ciliary flush, marked injection at the limbus (as opposed to perilimbal sparing seen in conjunctivitis)
	*Poorly reactive pupil		*Poorly reactive pupil

ClaireLewis: /* Posterior */

2019-10-05T17:07:05Z

Posterior

← Revisión anterior		Revisión del 17:07 5 oct 2019
Línea 56:		Línea 56:
	===Posterior===		===Posterior===
	*[[Floaters]]		*[[Floaters]]
	*[[Visual changes]]		*[[visual disturbances\|Visual changes]]
	*Generally does not cause redness or significant pain		*Generally does not cause redness or significant pain
	*Blind spots or flashing lights		*Blind spots or flashing lights

ClaireLewis at 17:06, 5 October 2019

2019-10-05T17:06:47Z

← Revisión anterior		Revisión del 17:06 5 oct 2019
Línea 9:		Línea 9:
	**Inflammation of iris and/or ciliary body		**Inflammation of iris and/or ciliary body
	**Types:		**Types:
	***Iritis		***[[Iritis]]
	***Iridocyclitis		***Iridocyclitis
	*Posterior uveitis = choroiditis		*Posterior uveitis = choroiditis
Línea 18:		Línea 18:
	**50% have associated systemic disease		**50% have associated systemic disease
	***[[Ankylosing spondylitis]]		***[[Ankylosing spondylitis]]
	***Psoriatic arthritis		***[[Psoriatic arthritis]]
	***Reactive arthritis		***[[Reactive arthritis]]
	***[[~~inflammatory~~ bowel disease]]		***[[Inflammatory bowel disease]]
	***Sarcoidosis		***[[Sarcoidosis]]
	***Juvenile idiopathic arthritis		***[[Juvenile idiopathic arthritis]]
	***Behcet disease		***[[Behcet disease]]
	***[[Kawasaki disease]]		***[[Kawasaki disease]]
	***[[Multiple sclerosis]]		***[[Multiple sclerosis]]
	***Granulomatosis with polyangiitis		***[[Granulomatosis with polyangiitis]]
	*Environmental		*Environmental
	**Trauma		**Trauma
Línea 38:		Línea 38:
	**[[VZV]]		**[[VZV]]
	**[[Syphilis]]		**[[Syphilis]]
	**Adenovirus		**[[Adenovirus]]

	===Complications===		===Complications===
Línea 47:		Línea 47:
	==Clinical Features==		==Clinical Features==
	===Anterior===		===Anterior===
	*Sudden red/painful eye		*Sudden [[red eye\|red]]/[[eye pain\|painful eye]]
	*Deep pain; worse with eye movement		*Deep pain; worse with eye movement
	**Due to ciliary muscle spasm which irritates CN V		**Due to ciliary muscle spasm which irritates CN V
Línea 55:		Línea 55:

	===Posterior===		===Posterior===
	*Floaters		*[[Floaters]]
	*Visual changes		*[[Visual changes]]
	*Generally does not cause redness or significant pain		*Generally does not cause redness or significant pain
	*Blind spots or flashing lights		*Blind spots or flashing lights

			===[[Slit-lamp exam]]===
			**Cell (WBCs from uveal vessels) & flare (proteinaceous transudate from uveal vessels)
			**[[Hypopyon]] (with severe disease)

	==Differential Diagnosis==		==Differential Diagnosis==
Línea 66:		Línea 70:

	==Evaluation==		==Evaluation==
	*~~Slit-lamp exam~~		*Clinical
	**Cell (WBCs from uveal vessels) & flare (proteinaceous transudate from uveal vessels)		*Consider [[CXR]] (uveitis often associated with [[sarcoidosis]], [[TB]])
	**Hypopyon (with severe disease)
	*[[CXR]] (uveitis often associated with [[sarcoidosis]], [[TB]])

	==Management==		==Management==
Línea 77:		Línea 79:
	===Noninfectious===		===Noninfectious===
	Anterior uveitis		Anterior uveitis
	**[[Topical steroid]] (anterior only; typically in consultation with ~~opthalmology~~)		**[[Topical steroid]] (anterior only; typically in consultation with ophthalmology)
	***Prednisolone 1%		***[[Prednisolone]] 1%
	**Mydriatics ([[sympathomimetics]])		**Mydriatics ([[sympathomimetics]])
	***Dilate the iris		***Dilate the iris
	***Prevents the formation of synechiae		***Prevents the formation of synechiae
	***Cyclopentolate or [[Phenylephrine]] HCl		***[[Cyclopentolate]] or [[Phenylephrine]] HCl
	**~~Cycloplegics~~		**[[Cycloplegic]]s
	***Relieves pain		***Relieves pain
	***[[Scopolamine]] 0.25% '''OR''' [[cyclopentolate]] 1%		***[[Scopolamine]] 0.25% '''OR''' [[cyclopentolate]] 1%

Ostermayer: /* Noninfectious */

2019-05-23T21:07:48Z

Noninfectious

← Revisión anterior		Revisión del 21:07 23 may 2019
Línea 76:		Línea 76:

	===Noninfectious===		===Noninfectious===
	*Anterior uveitis		Anterior uveitis
	**[[Topical steroid]] (anterior only; typically in consultation with opthalmology)		**[[Topical steroid]] (anterior only; typically in consultation with opthalmology)
	***Prednisolone 1%		***Prednisolone 1%
	**Mydriatics ([[sympathomimetics]])		**Mydriatics ([[sympathomimetics]])
			***Dilate the iris
	***Prevents the formation of synechiae		***Prevents the formation of synechiae
	***[[Phenylephrine]] HCl ~~or Hydroxyamphetamine HBr~~		***Cyclopentolate or [[Phenylephrine]] HCl
	**Cycloplegics		**Cycloplegics
	***Relieves pain		***Relieves pain

TylerDurden8823: Updated to correct terminology.

2018-04-11T04:00:51Z

Updated to correct terminology.

← Revisión anterior		Revisión del 04:00 11 abr 2018
Línea 26:		Línea 26:
	***[[Kawasaki disease]]		***[[Kawasaki disease]]
	***[[Multiple sclerosis]]		***[[Multiple sclerosis]]
	***~~Wegener’s granulomatosis~~		***Granulomatosis with polyangiitis
	*Environmental		*Environmental
	**Trauma		**Trauma

Mholtz at 02:01, 15 September 2017

2017-09-15T02:01:01Z

← Revisión anterior		Revisión del 02:01 15 sep 2017
Línea 1:		Línea 1:
	==Background==		==Background==
	*Uveitis = inflammation of iris, ciliary body, and/or choroid		*Uveitis = inflammation of iris, ciliary body, and/or choroid

			[[File:Anterior-uveitis.jpg\|thumb\|Anterior uveitis]]
			[[File:Hypopyon.jpg\|thumb\|Anterior uveitis with hypopyon]]

	===Types===		===Types===
Línea 36:		Línea 39:
	**[[Syphilis]]		**[[Syphilis]]
	**Adenovirus		**Adenovirus

			===Complications===
			*[[Cataracts]]
			*[[Glaucoma]] (from synechia)
			*[[Retinal detachment]]

	==Clinical Features==		==Clinical Features==
	===Anterior===		===Anterior===
	~~[[File:Anterior-uveitis.jpg\|thumb\|Anterior uveitis]]~~
	~~[[File:Hypopyon.jpg\|thumb\|Anterior uveitis with hypopyon]]~~
	*Sudden red/painful eye		*Sudden red/painful eye
	*Deep pain; worse with eye movement		*Deep pain; worse with eye movement
Línea 60:		Línea 66:

	==Evaluation==		==Evaluation==
	*Slit-lamp		*Slit-lamp exam
	**Cell (WBCs from uveal vessels) & flare (proteinaceous transudate from uveal vessels)		**Cell (WBCs from uveal vessels) & flare (proteinaceous transudate from uveal vessels)
	**Hypopyon (with severe disease)		**Hypopyon (with severe disease)
Línea 84:		Línea 90:

	==Disposition==		==Disposition==
	*~~Ophtho consult~~ within 24-~~48hr~~		*Generally may be discharged with urgent ophthalmology follow-up within 24-48 hours

	~~==Complications==~~
	*[[Cataracts]]
	*[[Glaucoma]] (from synechia)
	*[[Retinal detachment]]

	==See Also==		==See Also==
Línea 97:		Línea 98:
	==References==		==References==
	<references/>		<references/>

	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]