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Systemic disease and the eye
Common systemic diseases affecting the eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Soft tissue involvement ,[object Object],[object Object],[object Object],[object Object],2.  Eyelid retraction 3.  Proptosis 4.  Optic neuropathy 5.  Restrictive myopathy THYROID EYE DISEASE
Soft tissue involvement Periorbital and lid swelling Chemosis Conjunctival hyperaemia Superior limbic  keratoconjunctivitis
Signs of eyelid retraction Occurs in about 50% ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Proptosis Treatment options   ,[object Object],[object Object],[object Object],[object Object],[object Object],Axial and permanent in about 70%  May be associated with choroidal folds
Optic neuropathy ,[object Object],[object Object],[object Object],Caused by optic nerve compression at  orbital apex by enlarged recti  Often occurs in absence of significant  proptosis
[object Object],[object Object],Restrictive myopathy Elevation defect - most common   Abduction defect - less common  Depression defect -  uncommon   Adduction defect - rare
SARCOIDOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
SARCOIDOSIS Systemic Involvement ,[object Object],[object Object],[object Object],[object Object]
SARCOIDOSIS Ocular Involvement ,[object Object],[object Object],[object Object],[object Object],[object Object]
SARCOIDOSIS Ocular Involvement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SARCOIDOSIS Ocular Involvement ,[object Object],[object Object]
SARCOIDOSIS Granuloma in Fundus ,[object Object],[object Object]
SARCOIDOSIS Granuloma in Fundus ,[object Object],[object Object]
SARCOIDOSIS Systemic Signs ,[object Object]
SARCOIDOSIS Systemic signs ,[object Object],[object Object]
SARCOIDOSIS Systemic signs ,[object Object],[object Object],[object Object],[object Object]
SARCOIDOSIS Investigations (1) ,[object Object],[object Object],[object Object]
SARCOIDOSIS Investigations (2) ,[object Object],[object Object],[object Object]
SARCOIDOSIS Investigations (3) ,[object Object]
SARCOIDOSIS Treatment ,[object Object]
PHACOMATOSES 1.  Neurofibromatosis 2.  Tuberous sclerosis (Bourneville disease) 3.  von-Hippel-Lindau syndrome 4.  Sturge-Weber syndrome ,[object Object],[object Object]
Neurofibromatosis type-1 -  (NF-1) Appear during first year of life Café-au-lait spots ,[object Object],Increase in size and number  throughout childhood ,[object Object],[object Object],[object Object]
Fibroma molluscum in NF-1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Plexiform neurofibroma in NF-1 ,[object Object],[object Object],[object Object],[object Object]
Skeletal defects in NF-1  ,[object Object],[object Object],[object Object],[object Object]
Orbital lesions in NF-1 Spheno-orbital encephalocele Optic nerve glioma in 15% ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eyelid neurofibromas in NF-1 Nodular Plexiform May cause mechanical ptosis May be associated with glaucoma
Intraocular lesions in NF-1 Lisch nodules Very common - eventually present in 95% of cases Congenital ectropion uveae Uncommon - may be  associated with glaucoma Retinal astrocytomas Rare - identical to those seen  In tuberous sclerosis Choroidal naevi Common - may be  Multifocal and bilateral
Ocular features of NF-2 Common - combined hamartomas of  RPE and retina  Very common - presenile cataract
Tuberous sclerosis (Bourneville disease) ,[object Object],[object Object],[object Object],Shagreen patches ,[object Object],[object Object],Adenoma sebaceum ,[object Object],[object Object],[object Object],[object Object],Ash leaf spots ,[object Object],[object Object],[object Object]
Systemic hamartomas in tuberous sclerosis Astrocytic cerebral hamartomas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Visceral and subungual hamartomas
Retinal astrocytomas in tuberous scleritis  Dense white tumour Mulberry-like tumour Early  ,[object Object],[object Object],Semitranslucent nodule White plaque Advanced
Systemic features of v-H-L syndrome Autosomal dominant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CNS Haemangioblastoma MRI-spinal cord tumour Angiogram of cerebellar  tumour Visceral tumours
Retinal capillary haemangioma  in v-H-L syndrome Round orange-red mass Early  ,[object Object],[object Object],Tiny lesion between  arteriole and venuole Small red nodule Associated dilatation and  tortuosity of feeder vessels Advanced
Systemic features of Sturge-Weber syndrome ,[object Object],[object Object],[object Object],[object Object],Naevus flammeus ,[object Object],[object Object],[object Object],[object Object],Meningeal haemangioma
Ocular features of Sturge-Weber syndrome Normal eye Buphthalmos in 60% May be associated with  episcleral haemangioma Affected eye Diffuse choroidal haemangioma Glaucoma
Peripheral corneal involvement in  rheumatoid arthritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment  - systemic steroids and/or cytotoxic drugs Without inflammation  With inflammation
Peripheral corneal involvement in  Wegener granulomatosis and polyarteritis nodosa Circumferential and central ulceration similar to Mooren ulcer Unlike Mooren ulcer sclera may also become involved Treatment  - systemic steroids and cyclophosphamide
Ocular manifestations of HIV infection
Introduction ,[object Object],[object Object],[object Object]
 
Ophthalmic Manifestations of HIV Infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Molluscum Contagiosum ,[object Object],[object Object],[object Object],[object Object]
Herpes Zoster Ophthalmicus ,[object Object],[object Object],[object Object]
 
Kaposi’s Sarcoma ,[object Object],[object Object],[object Object],[object Object]
 
Conjunctival Squamous Cell Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Trichomegaly ,[object Object],[object Object],[object Object]
Dry Eye ,[object Object],[object Object],[object Object],[object Object]
Anterior Uveitis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Rifabutin induced anterior uveitis
Retinal microvasculitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cotton Wool Spots
CMV Retinitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Highly Active Antiretroviral Therapy
CMV Retinitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CMV Retinitis
Acute Retinal Necrosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Retinal Necrosis
Progressive Outer Retinal Necrosis (Varicella-Zoster Retinitis) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Toxoplasma Retinochoroiditis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Toxoplasma Retinochoroiditis ,[object Object],[object Object],[object Object],[object Object]
MRI T1 showing an uniformly enhancing lesion in the midbrain One week later, the lesion showing ring enhancement
[object Object]
Syphilis Retinitis ,[object Object],[object Object],[object Object]
 
Candida albicans endophthalmitis ,[object Object],[object Object],[object Object],[object Object]
Candida albicans endophthalmitis
Glossary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 

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