Red Eye Red Eye Lid Blepharitis Blepharitis Lacrimal system - - PowerPoint PPT Presentation

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Red Eye Red Eye Lid Blepharitis Blepharitis Lacrimal system - - PowerPoint PPT Presentation

Jun 15, 2023 679 likes •1.04k views

Red Eye Red Eye Lid Blepharitis Blepharitis Lacrimal system Dacryocystitis Conjunctiva Conjunctiva Conjunctivitis Pterygium & Pinguecula Pterygium & Pinguecula R d E Red Eye Acute uveitis

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Red Eye Red Eye

Lid

Blepharitis Blepharitis

Lacrimal system

Dacryocystitis

Conjunctiva Conjunctiva

Conjunctivitis Pterygium & Pinguecula Pterygium & Pinguecula

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R d E Red Eye

Acute uveitis Scleritis Acute glaucoma g Corneal defects Abrasion Abrasion Ulceration

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Inflammation of the uveal tract

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U iti Cl ifi ti U iti Cl ifi ti Uveitis : Classification Uveitis : Classification

Anatomical Anatomical Clinical Etiological

  • i

Pathological

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Uveitis : Anatomical Classification Uveitis : Anatomical Classification

Anterior uveitis Intermediate uveitis Intermediate uveitis Posterior uveitis Panuveitis

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U iti Cli i l l ifi ti U iti Cli i l l ifi ti Uveitis : Clinical classification Uveitis : Clinical classification

Acute

S dd t Sudden onset < 6 week persistence p Recurrent

Chronic Chronic

Prolonged persistence Less symptomatic

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Uveitis : Etiological Classification Uveitis : Etiological Classification Uveitis : Etiological Classification Uveitis : Etiological Classification

  • Exogenous

g

  • Endogenous

@ t i di

  • @ systemic diseases
  • Infectious
  • Idiopathic
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Uveitis : Pathological Classification Uveitis : Pathological Classification

Granulomatous Nongranulomatous Granulomatous Nongranulomatous

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Anterior Uveitis

S t

Anterior Uveitis

Signs Symptoms Photophobia P i Signs Ciliary injection Keratic precipitates Pain Decreased vision L i i Keratic precipitates Aqueous cells/flare Iris atrophy Lacrimation Red eye Iris atrophy Synechiae

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Intermediate Uveitis

  • Symptoms
  • Floaters
  • Decreased vision
  • Signs
  • Decreased vision
  • Signs
  • Vitreous cells
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Posterior uveitis Posterior uveitis

Symptoms

Floaters Floaters Impaired vision

Signs g

Vitreous cells/flare & opacities Ch idi i Choroiditis Retinits Vasculitis

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SLIDE 12

Uveitis & Arthritis

Ankylosing spondylitis Reiter’s syndrome Psoriatis arhritis Juvenile RA

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Uveitis & Systemic diseases Uveitis & Systemic diseases

Infectious

AIDS Acquired syphilis

Non-infectious

  • Acquired syphilis

Tuberculosis L Sarcoidosis Behcet’s disease Leprosy Vogt-Koyanaki-Harada syndrome

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Uveitis & Infections Uveitis & Infections

Parasite Toxoplasmosis Fungus Histoplasosis Toxocariasis p Candidiasis Virus Herpes zoster Herpes simplex Congenital rubella g

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Treatment of Uveitis Treatment of Uveitis

Goals Prevent visual complications Relieve discomfort Relieve discomfort Treat the underlying disease, if possible

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SLIDE 16

Treatment of Uveitis

C l l i / d i ti Cycloplegics / mydriatics Relieve ciliary spasm Prevent posterior synechia formation Synechialysis Synechialysis

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SLIDE 17

Treatment of Uveitis Treatment of Uveitis

Steroids

Topical Periocular

Side effects

Systemic

Ocular

Glaucoma Glaucoma Cataract Corneal complications

Systemic Systemic

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Treatment of Uveitis

Immunosuppressive agents

Cytotoxic drugs Cyclosporins

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S l i i Scleritis

Diffuse Nodular

  • Immune disease

Immune disease

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A

l l l

Angle-closure glaucoma

Primary angle-closure glaucoma Secondary Lens dislocation Neovascular glaucoma

Open-angle glaucoma

Acute uveitis Phacolytic glaucoma

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Primary Angle Closure Glaucoma Primary Angle-Closure Glaucoma

Relatively common in Orientals > 40 years > 40 years Women > men Risk factors Increased lens thickness Small corneal diameter Short axial length Short axial length

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Primary Angle Closure Glaucoma Primary Angle-Closure Glaucoma

Mechanism Mechanism

Relative pupillary block Iris bombe Iris bombe Iridotrabecular contact

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O l Open angle Closed angle

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Primary Angle-Closure Glaucoma Symptoms Symptoms

Pain Nausea & vomiting H l Halos Blurred vision Red eye

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Primary Angle-Closure Glaucoma

Signs Signs Ciliary flush Elevated IOP Corneal edema Fixed,oval, dilated pupil Glaukomflecken Glaukomflecken

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Primary Angle Closure Glaucoma Primary Angle-Closure Glaucoma

Medical Rx

Hyperosmotic agents Carbonic anhydrase inhibitors y Beta-blockers Alpha 2 agonists Alpha 2 agonists Miotics

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PACG Surgical Rx PACG Surgical Rx

I id t th d fi iti R Iridectomy : the definitive Rx

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PACG Surgical Rx PACG Surgical Rx

Goniosynechialysis

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SLIDE 29

PACG Surgical Rx PACG Surgical Rx

Filtering surgery : trabeculectomy

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SLIDE 30

Signs Ciliary injection

Symptoms Pain

Ciliary injection Irregular light reflex

Lacrimation Photphobia

Fluorescein staining

Blurred vision Red eye

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SLIDE 31

Corneal Abrasion Rx

P t hi Pressure patching Debridement Contact lens

  • i

i Lubrication Stromal puncture St o a pu ctu e

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Infections Bacteria Bacteria Fungus Parasite Virus Virus

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Corneal Ulceration Rx

Antimicrobial agents Antimicrobial agents Cycloplegics Steroids