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Evaluation of the Uveitis Patient

Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

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Page 1: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Evaluation of the Uveitis Patient

Page 2: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis

§ Group of inflammatory disease§ Affects multiple eye locations§ Potentially blinding

Page 3: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Evaluation Approach

§ Different uveitis causes, classifications§ Provide accurate description§ Generate differential diagnosis§ Directed ancillary, laboratory testing

Page 4: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis classification

§ Location§ Severity and course§ Pathology§ Demographics§ Laterality§ Etiology

Page 5: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Example 1

§ 25 yo caucasianman

§ Acute recurrent bilateral NG IC

§ One eye at a time§ Low back stiffness

Page 6: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Example 2

§ 40 yo asian woman§ Chronic bilateral G

panuveitis§ Serous retinal

detachment§ Systemic symptoms

Page 7: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Example 3

§ 50 yo caucasianwoman

§ Chronic G panuveitis

§ Vitritis, deep yellowish lesions

Page 8: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis Classification

§ Iritis§ Iridocyclitis§ Intermediate uveitis

Page 9: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis ClassificationPosterior

§ Retinitis§ Retinochoroiditis§ Chorioretinitis§ Choroiditis§ Panuveitis

Page 10: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis Classification

§ Multifocal (Diffuse )

Page 11: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Let’s Do a Hx and Exam…

Page 12: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis HistoryDemographics

§ Age § Sex§ Race

Page 13: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis HistoryHPI

§ Antecedent Events§ Course§ Treatment§ Previous workup

Page 14: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis History

§ Geography§ Family History§ Personal history:pets, diet, sex, drugs

Page 15: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis Symptoms

§ Acute IC§ Chronic IC§ Chronic intermediate§ Retinitis/retinochoroiditis§ Chorioretinitis/Choroiditis

Page 16: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsIOP

§ Acute§ Chronic

Page 17: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsExternal

§ Conjunctiva/sclera§ Pupil§ Lids

Page 18: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsExternal

§ Conjunctiva/sclera§ Pupil§ Lids

Page 19: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsExternal

§ Conjunctiva/sclera§ Pupil§ Lids

Page 20: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsExternal

§ Conjunctiva/sclera§ Pupil§ Lids

Page 21: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsSLE:KP

§ Size § Location

Page 22: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 23: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 24: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 25: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 26: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 27: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

AC Cell Grading

Page 28: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

TechniquesSlit beam: “optical knife”

Page 29: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 30: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsA/C Cell Grading

§ 0= none§ Occasional=1-4§ 1+=5-9§ 2+=10-19§ 3+=20-50§ 4+=>50

Page 31: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

A/C Signs

§ Hypopyon

Page 32: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsFlare Grading

§ 0=none§ 1+=faint§ 2+=moderate (clear details)§ 3+=marked (hazy details)§ 4+=severe (plastic, fibrin)

Page 33: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Iris

§ Color§ Nodules (koeppe, bussaca)§ Topography§ Vessels§ Synechiae

Page 34: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Iris

§ Color§ Nodules (koeppe,

bussaca)§ Topography§ Vessels§ Synechiae

Page 35: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Iris

§ Color§ Nodules (koeppe, bussaca)§ Topography§ Vessels§ Synechiae

Page 36: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 37: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 38: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 39: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 40: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 41: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 42: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Iris

§ Color§ Nodules (koeppe,

bussaca)§ Topography§ Vessels§ Synechiae

Page 43: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Iris

§ Color§ Nodules (koeppe,

bussaca)§ Topography§ Vessels§ Synechiae

Page 44: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Iris

§ Color§ Nodules (koeppe,

bussaca)§ Topography§ Vessels§ Synechiae

Page 45: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Iris

§ Color§ Nodules (koeppe,

bussaca)§ Topography§ Vessels§ Synechiae

Page 46: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsSLE:Lens

§ Pigment§ Cataract

Page 47: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 48: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 49: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 50: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsOphthalmoscopy

§ SLE§ Indirect

Page 51: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis SignsVitreous Opacity Grading

§ Ophthalmoscopy§ Clarity§ Grading

Page 52: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Vitreous Haze

Page 53: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Vitreous Signs

§ Vitreous cells§ Snowballs§ Snowbanks

Page 54: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 55: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 56: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 57: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Retinal Vessels

§ Arterioles§ Venules§ Neovascularization

Page 58: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 59: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 60: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 61: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Optic Nerve

§ Swelling§ Inflammatory§ Granulomatous

§ Neovascularization

Page 62: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Optic Nerve

§ Swelling§ Inflammatory§ Granulomatous

§ Neovascularization

Page 63: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Optic Nerve

§ Swelling§ Inflammatory§ Granulomatous

§ Neovascularization

Page 64: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Retinitis

§ CMV§ Syphilis§ Toxoplasmosis§ Fungal§ Herpetic

Page 65: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 66: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 67: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 68: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 69: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 70: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 71: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 72: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 73: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 74: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 75: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 76: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 77: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 78: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 79: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 80: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 81: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Chorioretinal Scars

§ Sarcoid§ Syphilis§ MCP§ Histo§ AMPPE/Serpiginous§ VKH§ Toxo§ SO

Page 82: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Diagnostic Evaluation of Uveitis

Page 83: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Diagnostic Testing

§ Directed Approach§ Based on differential diagnosis

(Hx,Exam)§ Shotgun testing

Page 84: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Types of Diagnostic Tests

§ Ancillary tests§ Laboratory tests

Page 85: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Ancillary TestsExamples

§ Ultrasound§ OCT§ FA§ FAF§ ICG§ ERG§ VF

Page 86: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Ancillary tests-FA

§ CME§ “White dot syndromes”§ VKH/Scleritis/SO§ Placoid syphilitic uveitis§ AMPPE/serpiginous§ Retinitis

Page 87: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

CME Angiographic Characteristics

§ Early coarse perifovealhyperfluorescence

§ Late petalloidleakage

Page 88: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

CME Angiographic Characteristics

§ Early coarse perifovealhyperfluorescence

§ Late petalloidleakage

Page 89: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

ICG

§ Supports clinical dx§ MEWDS§ Birdshot§ MCP

Page 90: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

ICG-hypofluorescent spots

Page 91: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

OCT

Page 92: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

OCT

§ Diagnose, monitor CME

Page 93: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 94: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Ultrasonography

§ Macular thickening§ Choroidal

thickening§ Vitreous

hemorrhage§ Retinal detachment§ Pre-surgical

planning

Page 95: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Laboratory TestsExamples

§ Serum chemistry§ Serology§ HLA-typing§ Skin Tests§ Radiological imaging

Page 96: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Radiological Imaging

§ CXR:sarcoid,TB§ CT/MRI

§ MS§ Foreign body§ Lymphoma§ Posterior Scleritis§ Sarcoid

Page 97: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Radiological Imaging

§ CXR:sarcoid,TB§ CT/MRI

§ MS§ Foreign body§ Lymphoma§ Posterior Scleritis§ Sarcoid

Page 98: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Serology

§ Toxocara§ Toxoplasmosis (IgG, IgM)§ Lyme§ Syphilis§ Cat Scratch (Bartonella)

Page 99: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

HLA Testing

§ HLA A29: Birdshot§ HLA-B27:AS,PA,IBD, Reiter’s

Page 100: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Diagnostic TestsSkin Tests

§ PPD§ Histo§ Cocci

Page 101: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Diagnostic Vitrectomy

Page 102: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Diagnostic Vitrectomy Indications

§ Negative lab work-up§ Diagnostic uncertainty: CA, infection§ Atypical therapeutic response

Page 103: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 104: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 105: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 106: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis
Page 107: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

IOFB

Paint from car

Page 108: Evaluation of the Uveitis Patient - Ophthalmology · Evaluation Approach § Different uveitis causes, classifications § Provide accurate description § Generate differential diagnosis

Uveitis Evaluation Summary

§ Accurate description§ Detailed history§ Orderly examination§ Generate differential diagnosis§ Order directed laboratory tests§ Begin appropriate treatment


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