Uveitis: Clinical Features & Investigations

Uveitis Introduction

1. UVEITIS:CLINICAL FEATURES & INVESTIGATIONS
DR. SOHAIBABBAS MALIK
FCPS (Pak), MRCSEd(UK),
Fellowship Training VR Surgery (Pak)
Fellowship In Uveitis & Retina (USA)
Consultant Eye Surgeon
Assistant Professor

2. CLASSIFICATION OF UVEITIS: ANATOMICAL
ANTERIORINTERMEDIATEPOSTERIOR
•Iritis
•Anterior Cyclitis
•Irido-Cyclitis
•Posterior Cyclitis
•Pars Planitis
•Hyalitis
•Basal Retinochoroiditis
•Choroiditis
•Retinitis
•Chorioretinitis
•Retinochoroiditis
•Optic Neuritis
•Papillitis

4. •Iritis
•Anterior Cyclitis
•Irido-Cyclitis
CLINICAL FEATURES
ANTERIOR
UVEITIS

5. •Conjunctivitis
•Keratitis
•Uveitis
ANTERIOR UVEITIS
D/D of Red Eye:
PINK EYE
RED EYE
Presentation:

6. ANTERIOR UVEITIS
Symptoms
•Light passage
•Spasm
•Photophobia
•Pain
•Blurred Vision

7. ANTERIOR UVEITIS
1.Redness
[Congestion]
Clinical Findings
Ciliary / CircumcornealR
AC
K
S
2.Anterior Chamber Cells and Flare
3.KeraticPrecipitates
4.Synechiae Formation
R A C K S

8. ANTERIOR UVEITIS
Clinical Findings
Ciliary / Circumcorneal
1.Redness
[Congestion]

9. ANTERIOR UVEITIS
Clinical Findings
2.Anterior Chamber Cells and FlareGRADING +1 to +4

10. ANTERIOR UVEITIS
Clinical Findings
2.Anterior Chamber Cells and FlareGRADING +1 to +4

11. ANTERIOR UVEITIS
Clinical Findings
2.Anterior Chamber Cells and FlareGRADING +1 to +4

12. ANTERIOR UVEITIS
Clinical Findings
Non-Granulomatous
3.KeraticPrecipitates
Granulomatous

13. ANTERIOR UVEITIS
Clinical Findings
4.Synechiae
synechia(n.)
pluralsynechiae, "morbid union of parts, especially of the eye," 1842,
medical Latin, from Greek synekheia"continuity," from synekhes
"continuous," from syn"together" (see syn-) + ekhein"to hold" (from
PIEroot*segh-"to hold").

14. ANTERIOR UVEITIS
Clinical Findings
4.Synechiae

15. ANTERIOR UVEITIS
Clinical Findings
4.Synechiae

16. ANTERIOR UVEITIS

17. ANTERIOR UVEITIS
Clinical Findings
4.Synechiae

18. ANTERIOR UVEITIS
Clinical Findings
4.Synechiae

19. ANTERIOR UVEITIS
1.Redness
[Congestion]
Clinical Findings
Ciliary / CircumcornealR
AC
K
S
2.Anterior Chamber Cells and Flare
3.KeraticPrecipitates
4.Synechiae Formation
R A C K S

20. •Blurred Vision
•Pain
•Photophobia
INTERMEDIATE UVEITIS
Symptoms
•Floaters
•Flashes

21. •Blurred Vision
•Pain
•Photophobia
INTERMEDIATE UVEITIS
Symptoms•Floaters
•Flashes

22. INTERMEDIATE UVEITIS
Clinical Findings
Vessels Leak Cells
Cells Cause SNOW

23. INTERMEDIATE UVEITIS

24. INTERMEDIATE UVEITIS
Clinical Findings
Vitritis
Vitreous Cells
Vitreous Haze
Vessels Leak Cells
Cells Cause SNOW

25. INTERMEDIATE UVEITIS
Vessels Leak Cells
Cells Cause SNOW
Vitritis
Vitreous Cells
Vitreous Haze

26. INTERMEDIATE UVEITIS
Vessels Leak Cells
Cells Cause SNOW
Vitritis
Vitreous Cells
Vitreous Haze
Snowballs
Snowbanking

27. INTERMEDIATE UVEITIS
Vessels Leak Cells
Cells Cause SNOW
Vitritis
Vitreous Cells
Vitreous Haze
Snowballs
Snowbanking
Phlebitis
Peripheral
SPILLOVER ANTERIOR UVEITIS

28. •Blurred Vision
•Pain
•Photophobia
•Floaters
•Flashes
POSTERIOR UVEITIS
Symptoms
•Choroiditis
•Retinitis
•Chorioretinitos
•Retinochoroiditis
•Neuroretinitis
•Papillitis
•Vasculitis
Clinical Features

29. POSTERIOR UVEITIS
CHOROIDITIS

30. POSTERIOR UVEITIS
CHOROIDITIS

31. POSTERIOR UVEITIS
RETITNITS

32. POSTERIOR UVEITIS
RETITNITS

33. POSTERIOR UVEITIS
VASCULITIS

34. POSTERIOR UVEITIS
VASCULITIS

35. POSTERIOR UVEITIS
NEURORETINITIS

36. POSTERIOR UVEITIS
NEURORETINITIS

37. INVOLVEMENT
ANTERIOR + INTERMEDIATE

38. INVOLVEMENT
INTERMEDIATE + POSTERIOR

39. INVOLVEMENT
PANUVEITIS

40. INVOLVEMENT
ANTERIOR + POSTERIOR?

41. INVESTIGATIONS

42. INVESTIGATIONSAnterior Uveitis:
First Episode
One Eye
Non Granulomatous
AB C Infection!!!
ANA
ANCA
HLA-B27CBC with ESR
CRP
ACE
CXR
TB
Toxo
Syphillis

43. THANK YOU!
QUESTIONS?