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Ростовский Государственный Медицинский Университет

Предмет:

Медицина общая

Файл:

Illustrated Tutorials in Ophthalmology Kanski, Bolton 2001

.pdf

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Intermediate uveitis

Cystoid macular oedema

Treatment

Posterior sub-Tenon steroids if poor VA

Juvenile chronic iridocyclitis

•Majority are girls

•Initially no systemic disease

•Minority subsequently develop arthritis

Progression of complications


Posterior synechiae	Band keratopathy	Cataract

Acute anterior uveitis in young adults

•Majority are men

•45% are positive for HLA-B27

•Initially no systemic disease

•Minority subsequently develop ankylosing spondylitis


Fibrinous exudate	Residual pigment on lens

Sympathetic ophthalmitis

Typically follows penetrating	Bilateral granulomatous panuveitis
trauma

Granulomatous anterior uveitis

Multifocal choroiditis

IDIOPATHIC INFLAMMATORY

WHITE DOT SYNDROMES

1.Multiple evanescent white dot syndrome (MEWDS)

2.Acute posterior multifocal placoid pigment epitheliopathy (APMPPE)

3.Punctate inner choroidopathy (PIC)

4.Birdshot retinochoroidopathy

5.Multifocal choroiditis with panuveitis

6.Serpiginous choroidopathy

MEWDS

•Young adults (F > M)

•Unilateral

•Small, subtle, deep grey-white dots

•Orange macular granularity

•Mild vitritis


Posterior pole	Mid-periphery

FA of MEWDS


Many hyperfluorescent spots	Increase in hyperfluorescence and
at posterior pole	late leakage from disc

MEWDS

•Treatment - nil

•Course - 6 weeks

•Complications - nil

•Prognosis - excellent

Residual blind spot enlargement

APMPPE

•Young adults (F=M)

•Associated with HLA-B7 and DR2

•Bilateral and symmetrical

•Large, deep, grey-white, placoid lesions

•Mainly at posterior pole

•Mild vitritis

FA of APMPPE


Early dense hypofluorescence	Late staining

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