أدخل برجلك اليمين ... وعرفنا بيك هنا

من طرف **7oda** السبت أغسطس 28, 2010 5:38 pm

بسم الله الرحمن الرحيم
Summary for revision
Write by Medical student
D.Ali faraj EL-NAKKA
اتمني انو الجميع يستفيد
اخد مني جهد هلبه
IMPORTANT SYSTEMIC ASSOCIATIONS OF UVEITIS
1. Spondylarthropathies
2. Juvenile idiopathic arthritis
3. Sarcoidosis
4. Behçet disease
5. Vogt-Koyanagi-Harada syndrome
6. Inflammatory bowel disease

Cause of heterochromian
1. Congenital
2. Fuchs uveitis syndrome
3. Topical xalatan
4. Sturge-Weber syndrome( haemangioma in skin ,iris,choroid)
5. Unilateral anterior uvetitis
6. Horner syndrome (5 things in this disease)
1. Partial ptosis
2. Meiosis
3. Heterochromian
4. No sweating in affected site
5. Enophthalmos
General cause of acute Iridocyclitis

Ocular cause
1. Trauma
2. Post-operative
3. Corneal ulcer
4. Rupture lens capsule
5. Dislocation and sublaxation lens
6. Retinal detachment
7. Intraocular tumors
Systemic cause
1. Ankylosing spondylitis(anterior uvetitis)
2. Juvenile idiopathic arthritis (polyarticular 5% Iridocyclitis ,systemic 20% anterior uveitis)
3. Autoimmune disease
1.Behçet disease (mouth ulcer gentile ulcer and uveitis )(post.uveitis)
2.VKH syndrome (poliosis, vertigo and uvetitis)( post.uvetits)
3.Inflammatory bowel syndrome (ulcerative colitis ant.uveitis)
4.Sympathetic Ophthalmia(post.uveitis)
8.infections
1.bacteria(T.B syphilis)
2.virus H.zoter(ant.uveitis) (HIV ,CMV H.simplx post.uveitis)
3.fungal candida and histoplasmosis

سؤال شفوي intraocular muscle
Oblique muscle
Sphincter muscle
Dilator muscle

The signs of uveitis (VIP IN MCQ)
1. Ciliary injection(diffuse and decreased to ward fornix)
2. Anterior chamber
A. Keratic precipitate(kps) inflammatory cells precipitated on post. Surface of the cornea (In mid and inf.surface بسبب الجاذبيةgravity)
Types if Kps
1.Fine in acute ant. Uveitis
2.medium acute and chronic
3.mutton in granulomatous Uveitis) أهم نوع (
Note old Kps pigmented small and irregular edge
B. Aqueous flare
Proteins and inflammatory cells in aqueous humor can convert to plasmoid (coagulated in sever case) هنا السؤال المهم انو البروتين و الخلايا الالتهاب تمشي و ترسب علي T.Mو تسبب secondary open angle glaucoma سؤال شفوي
و أيضا uveitis يتسبب في secondary closed angle glaucoma called Iris bombo by SYNECHIAE
C. Cells dust like particles
D. Hypopyon
E. Pupil miotic
The synechiae (أهم واحدة و الوحيد الخاص بي uveitis)
1. Anterior peripheral synechia(adhesion between Iris and cornea ) IRIS BOMBO
2. POSTERIOR SYNECHIA
A. Seclusion-pupillae(can see lens ,anterior chamber shallow)
Clinical (put E.D mydriatics and see after few min festoond pupil or pear shape
)
B. Occlusion-pupil
Blocked pupil cannot see the lens here too anterior chamber shallow )
C. Total synechia (anterior chamber deep)

The complication of uveitis

1. Secondary glaucoma
2. Complicated cataract
3. Cyclitic membrane(membrane between vitrous and lens
هدا يسبب TRACTION RETINAL D.)
4.BAND shape kerathopathy

Treatment
1. أهم شي Mydriatic
أنسي كل شي ألا هدا لانها تمنع synechia )
Eye drop for adult

Eye ointment for children (E .D CI)
2. STEROIDS
60 ml/gram for 5 days
40ml/gram for 5 days
20 ml/gram for 5 day
10 ml/gram for 5 day
Gradual for avoid suprarenal gland insufficiency
NASID
Immunosuppressant (cyclosporine)
In Behçet disease