• Save
Sequelae & Complications of Uveitis
Upcoming SlideShare
Loading in...5
×
 

Sequelae & Complications of Uveitis

on

  • 9,313 views

www.ophthalclass.blogspot.com has the complete class on uveitis for undergraduate medical students. This presentation is the third in the series and deals with the sequelae and complications of ...

www.ophthalclass.blogspot.com has the complete class on uveitis for undergraduate medical students. This presentation is the third in the series and deals with the sequelae and complications of uveitis.

Statistics

Views

Total Views
9,313
Views on SlideShare
9,007
Embed Views
306

Actions

Likes
5
Downloads
0
Comments
2

18 Embeds 306

http://ophthalclass.blogspot.com 237
http://ophthalclass.blogspot.in 26
http://www.slideshare.net 13
http://ophthalclass.blogspot.co.uk 6
http://www.ophthalclass.blogspot.com 5
http://www.ophthalclass.blogspot.ae 3
http://ophthalclass.blogspot.nl 3
http://ophthalclass.blogspot.com.es 3
http://www.ophthalclass.blogspot.ro 1
http://ophthalclass.blogspot.ie 1
http://www.ophthalclass.blogspot.co.uk 1
http://www.ophthalclass.blogspot.in 1
http://ophthalclass.blogspot.kr 1
http://ophthalclass.blogspot.mx 1
http://ophthalclass.blogspot.com.au 1
http://ophthalclass.blogspot.gr 1
http://ophthalclass.blogspot.com.br 1
http://www.slideee.com 1
More...

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel

12 of 2

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
  • Is there a website (group blog) where any ophthalmologist can share case presentations or review presentations contributed by anyone interested
    Are you sure you want to
    Your message goes here
    Processing…
  • Keep up the good work
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    Sequelae & Complications of Uveitis Sequelae & Complications of Uveitis Presentation Transcript

    • Sequelae and complications of uveitis DR. ANUPAMA KARANTH www.ophthalclass.blogspot.com www.ophthalclass.blogspot.com
    • Uveitis  Fourth leading cause of blindness in the developed countries  Complications Cataract  Glaucoma  Cystoid macular edema  Hypotony  www.ophthalclass.blogspot.com
    • Uveitis  Inflammation in the uveal tract  Exudation and cellular infiltration Iris  Ciliary body  Choroid / retina   Consequences Organization of exudates  Fibroblastic activity  www.ophthalclass.blogspot.com
    • Sequelae  Iris  Ciliary body  Lens  Vitreous  Choroid / Retina www.ophthalclass.blogspot.com
    • Iris  Organization of exudates Adhesions –Synechiae  Fibrous membranes  www.ophthalclass.blogspot.com
    • Synechiae  Pupil to lens Posterior synechiae   Peripheral iris to cornea Peripheral anterior synechiae (PAS)   Posterior surface iris to lens capsule Total posterior synechiae  www.ophthalclass.blogspot.com
    • Synechiae  Pupil to lens  Posterior synechiae www.ophthalclass.blogspot.com
    • Synechiae  Pupil to lens  Posterior synechiae  Festooned pupil  360 degrees of posterior synechiae – seclusio pupillae /ring or annular synechiae www.ophthalclass.blogspot.com
    • Synechiae  Peripheral iris to cornea  Peripheral anterior synechiae (PAS) www.ophthalclass.blogspot.com
    • Synechiae  Peripheral iris to cornea  Peripheral anterior synechiae (PAS) www.ophthalclass.blogspot.com
    • Synechiae  Posterior surface iris to lens capsule  Total posterior synechiae www.ophthalclass.blogspot.com
    • Posterior synechiae Entire pupil Posterior Seclusio border to lens synechiae pupillae (360deg) Peripheral iris pushed to Iris bombé Pupil block cornea Secondary angle closure glaucoma Iris bombé: ballooning of iris, shallow anterior chamber www.ophthalclass.blogspot.com
    • Iris bombé Iris bombé: ballooning of iris, shallow anterior chamber www.ophthalclass.blogspot.com
    • Peripheral anterior synechiae Peripheral Closure of anterior trabecular synechiae meshwork Secondary Block to angle aqueous closure drainage Gonioscopy to visualize angle in every case of uveitis www.ophthalclass.blogspot.com
    • Sequelae…  Extensive exudation in iris and ciliary body  ‘Plastic’ iridocyclitis  Organizes into membranes Pupil  Retrolental space  www.ophthalclass.blogspot.com
    • Fibrous membranes  Pupil  Occlusio pupillae  Pupil block  Secondary angle closure glaucoma www.ophthalclass.blogspot.com
    • Fibrous membranes  Retrolental space Cyclitic membrane  Posterior lens, vitreous base and pars plicata  Hypotony  Retinal detachment  Ciliary body atrophy and shrunken eye  www.ophthalclass.blogspot.com
    • Pupil in iridocylitis  Miotic  Posterior synechiae  Festooned pupil  Seclusio pupillae  Occlusio pupillae  Ectropion uveae www.ophthalclass.blogspot.com
    • Ectropion uveae www.ophthalclass.blogspot.com
    • Lens  Iris pigments on lens surface  Posterior subcapsular cataract Inflammation and corticosteroid use  Complicated cataract  Breadcrumb appearance  Polychromatic lustre  www.ophthalclass.blogspot.com
    • Lens pigments and cataract www.ophthalclass.blogspot.com
    • Vitreous in uveitis  Exudates get organized  Vitreous membranes, contraction  Traction on retina Tractional retinal detachment  Retinal tears and rhegmatogenous retinal detachment  www.ophthalclass.blogspot.com
    • Choroid and retina  Destruction of retinal pigment epithelium (RPE) and Bruch’s membrane Chorioretinal atrophic patch  White of sclera seen through   Fibroblastic activity Chorioretinal adhesion  RPE proliferation at edges – pigmented scars  Choroidal neovascular membranes   Permanent scotomas www.ophthalclass.blogspot.com
    • Complications Cataract  Glaucoma  Hypotony  Cystoid macular edema  www.ophthalclass.blogspot.com
    • Causes of glaucoma  Closed angle Posterior synechiae  Peripheral anterior synechiae   Open angle Cells and protein blockage of trabecular meshwork  Trabeculitis  Corticosteroid induced  www.ophthalclass.blogspot.com
    • Causes of hypotony  Acute inflammation of ciliary body - temporary hyposecretion  Chronic ciliary body damage – permanent hypotony  Ciliary body traction from a cyclitic membrane Hypotony more dangerous in chronic uveitis than glaucoma www.ophthalclass.blogspot.com
    • Hypotony – phthisis bulbi (LE) www.ophthalclass.blogspot.com
    • Cystoid macular edema  Inflammatory mediators reach the macula  Common cause of visual loss in uveitis www.ophthalclass.blogspot.com
    • End stage of inflammatory eye diseases  Atrophy with shrinkage Small globe  Structures still recognizable  ATROPHIC BULBI  Eg. Chronic long standing uveitis   Atrophy with shrinkage and disorganization Small globe  Structures unrecognizable  PHTHISIS BULBI  Eg. Purulent endophthalmitis  Irreversible blindness www.ophthalclass.blogspot.com
    • Phthisis bulbi  Clinically, any globe which is Sightless  Shrunken  Shapeless (‘squared-off’)  Soft   Associations Dystrophic calcification eg. band keratopathy  Intraocular ossification  Risk of intraocular malignancy  www.ophthalclass.blogspot.com