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    Uvea (Hira fj'23)

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    Minahil Shahid
    This document discusses uveitis, acute iridocyclitis, endophthalmitis, and red eye. It includes definitions, classifications, clinical presentations, diagnoses, and treatment options for each condition. Diagrams are provided showing anatomy of the uveal tract and structures of the eye. Management guidelines and comparisons between endophthalmitis and panophthalmitis are also presented. The document appears to be educational material for medical students to review ophthalmic conditions that present with redness of the eye.

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    Uvea (Hira fj'23)

    Uploaded by

    Minahil Shahid
    11 views15 pages
    This document discusses uveitis, acute iridocyclitis, endophthalmitis, and red eye. It includes definitions, classifications, clinical presentations, diagnoses, and treatment options for each condition. Diagrams are provided showing anatomy of the uveal tract and structures of the eye. Management guidelines and comparisons between endophthalmitis and panophthalmitis are also presented. The document appears to be educational material for medical students to review ophthalmic conditions that present with redness of the eye.

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    Notes for uveal tract

    Original Title

    Uvea(Hira_fj'23)

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    This document discusses uveitis, acute iridocyclitis, endophthalmitis, and red eye. It includes definitions, classifications, clinical presentations, diagnoses, and treatment options for each condition. Diagrams are provided showing anatomy of the uveal tract and structures of the eye. Management guidelines and comparisons between endophthalmitis and panophthalmitis are also presented. The document appears to be educational material for medical students to review ophthalmic conditions that present with redness of the eye.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    11 views15 pages

    Uvea (Hira fj'23)

    Uploaded by

    Minahil Shahid
    This document discusses uveitis, acute iridocyclitis, endophthalmitis, and red eye. It includes definitions, classifications, clinical presentations, diagnoses, and treatment options for each condition. Diagrams are provided showing anatomy of the uveal tract and structures of the eye. Management guidelines and comparisons between endophthalmitis and panophthalmitis are also presented. The document appears to be educational material for medical students to review ophthalmic conditions that present with redness of the eye.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 15

    UVEA & Red Eye

    Jatoi, Jogi, Parson,Khurana,Kanski


    Past UHS prof Ans
    Contents Page No.

    Uveitis 4-6

    Acute Iridocyclitis 7-10

    Endophthalmitis 10-14

    Red Eye 15

    1
    Suprachoroidal Collagen Fibres
    Lamina Macrophages

    Choroid Stroma CT,BV


    Uveal Tract

    Bruch's Membrane

    Ciliary Muscle
    Pars Plicata
    Stroma ,CIliary Process
    Ciliary Body
    Pars Plana Epithelial Layers
    Iris

    2
    CHOROID↑

    Ciliary Body ↑

    3
    Uveitis
    1. Classify uveitis. Discuss the role of cycloplegics in management of uveitis.
    [Annual 2008]

    4
    5
    6
    Acute Iridocyclitis (Acute Anterior Uveitis)
    1. A 30-year-old male presents with redness, pain and decreased vision in the right eye.
    On examination, VA is 6/18 in right eye and 6/6 in the left eye. On slit lamp
    examination, there are 4+ cells in the anterior chamber. IOP is 16 mm Hg.
    a) What is the likely diagnosis? (1)
    b) What other clinical signs will you look for in Slit Lamp Examination? (2)

    7
    c) What treatment options are available? (2)
    [Supple 2016 held in 2017

    8
    9
    Endophthalmitis
    1. A 50-year-old male known diabetic underwent cataract surgery for right eye. On first
    postoperative day he complains of severe pain, redness, decrease vision right eye. O
    examination he had VA HM along with hypopyon, cornea edema and poor fundal
    view. B-scan showed vitreous echogenic shadows.
    a) What is the diagnosis? (1)
    b) What are causative organisms? (2)
    i)Bacteria
    90% Gram + , 10% Gram -
    ii)Fungi
    c) How will you treat this patient? (2)
    [Annual 2019]

    10
    2. A 60 years old patient came to OPD with history of severe pain and sudden dimness
    of vision in right eye, two days after cataract surgery. On examination there was
    severe eye congestion and hypopyon. Retinal glow was absent and B-scan showed
    extensive vitreous echoes.
    a) What is most probable diagnosis? (2)
    b) How will you manage this case? (3)
    [Annual 2018]
    3. What are the differences between endophthalmitis and panophthalmitis?
    [Annual 2010 & Annual 2012]
    Endophthalmitis Panophthalmitis
    Definition IO Structure Whole Eyeball+Tenon
    Capsule
    Aetiology Bacteria, Fungi Uncontrolled
    Endophthalmitis
    Prognosis Good for Saving Globe Enucleation Required
    Symptoms Redness, Lacrimartion, Severe pain, Vision Loss
    Photophobia
    Anterior Chamber Fibrous Exudates, Hypopyon Pus Filled
    IOP High to low High

    11
    Extraocular Movements Normal Restricted
    Cornea Hazy Cloudy+Edematous
    Complications Pan, Complete Vision Loss Meningitis, Encephalitis,
    Cavernous Sinus
    thrombosis

    4. An old man was operated for cataract extraction and IOL implantation in left eye.
    Postoperatively, patient complains of pain redness and visual deterioration in that
    eye. Examination revealed intensely inflamed eye with swelling and conjunctival
    chemosis and hypopyon along with pupillary membrane. Anterior chamber aspirate
    was obtained and found to contain pseudomonas aeruginosa upon culture.
    a) Which antibiotic is most appropriate for this condition?
    3rd gen Cephalosporin, Tobramycin
    Medical(Jogi)
    1. Control the infection by administration of modern broad-spectrum antibiotics by all possible
    routes:
    i. Topical frequent instillation of eyedrops and eye ointment at bedtime.
    ii. Subconjunctival or periocular injection.
    iii. Systemic administration by oral or parenteral routes.
    High intraocular concentration of antibiotics is maintained. Multiple antibiotics are given to
    cover all pathogens. Third generation cephalosporins are given intravenously or intramuscularly
    b) Which route of antibiotic therapy will provide the best result?
    IV route
    c) What is the natural course of illness if left untreated?
    [Annual 2008]

    12
    5.
    a) What is endophthalmitis?
    b) How is it different from panophthalmitis?
    c) How do you treat acute post-operative endophthalmitis?

    13
    [Annual 2008]

    14
    RED EYE
    1. List four common and important causes of painful red eye. [Supple 2006]
    2. What is the cause of red eye? [Annual 2005]

    15

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