GLAUCOMA葡萄膜炎并发青光眼ppt课件.pptVIP

UVEITIC GLAUCOMA;POAG JUVENILE;Uveitis Classifications;Uveitis Classifications;Anatomical Classification:; Q1: Which form of ocular inflammation (anatomical classification) most frequently produces an IOP elevation? ; A1: Anterior uveitis (chronic acute) Even glaucomas that result from other types of ocular inflammation are usually the consequence of secondary involvement of the anterior uveal tract. ;;A2. LOW secondary to CB shut down +/- increased uveoscleral outflow;Uveitis ClassificationsII) Duration Classification:;Acute Anterior Uveitis;BEH?ET’S DISEASE;Incidance: 1/100, 000 prevalence in USA 670/100,000 in Japan BD is most prevalent (and more virulent) in the Mediterranean region, Middle East, and Far East, with an estimated prevalence of 1 case per 10,000 persons ;Unknown Various bacteria and viruses suggested No good evidence to suggest any of them Tumour necrosis factor (TNF) thought to be important; Oral aphthous ulceration – 100% Genital ulceration – 90% ;Skin lesions – 80% Erythema Nodosum Acneiform Uveitis 70% (inflam. of iris, ciliary body or choroid) ;CNS involvement – strokes Major vessels SVC obstruction Increased skin response to trauma;Acute iritis Pain, redness ?VA Flare Inflammatory cells in anterior chamber KPs Recurrent hypopyon (Fluid level of WBC);Marked inflammation of the eye Retinal vasculitis and haemorrhage Occlusive periphlebitis (venous sheathing occlusion) Cataract or glaucoma;International criteria published in 1990 require Oral ulcers 3 X /1 year + Any 2 of the following: Recurrent genital ulcers eye lesions Skin lesions Positive pathergy test 2mm plus papule developing over 24-48 hrs after oblique insertion of a 20 gauge needle into skin. ;Sarcoidosis;Sarcoidosis – Anterior Uveitis;;;;;JIA; Infection (chronic endophthalmitis) Tumors (lymphoma, melanoma) Acute angle closure Neovascular