Ophthalmology Series: Case 3

ANSWERS WILL BE POSTED IN REPLY BOX BELOW BY THE EVENING (CET).

A 51-year old lady presents with photophobia, redness of the eye and blurred vision. She was diagnosed with sarcoidosis ten years ago, to which she is currently taking systemic prednisolone. Her late father was diagnosed with chronic glaucoma after he retired. 

Slit Lamp examination reveals (Note the arrow).

1. What is the most likely diagnosis in this lady ?

2. What is the arrow pointing to on slit lamp examination ?

3. Give an outline of the underlying pathology.

4. How would you manage this patient ?

5. What complications may arise if this lady is left untreated ? 

6. In the general population,                                     is the most common condition found associated with this diagnosis.

ANSWER THE QUESTIONS IN THE COMMENTS BELOW. SHARE WITH YOUR COLLEAGUES.

Source: http://www.merckmanuals.com/professional/eye-disorders/uveitis-and-related-disorders/overview-of-uveitis

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2 thoughts on “Ophthalmology Series: Case 3

  1. 1. Anterior Uveitis (or Iritis)
    2. Keratitic Precipitates seen as inflammatory cells clumped together on the endothelium of the cornea, particularly inferiorly.
    3.In the aqueous humour of the anterior chamber, white cells circulate as a fluid level inferiorly (hypopyon). The iris adheres to the lens and bind down the pupil to form a posterior synechiae that blocks the drainage angle. As a result, intraocular pressure is increased.
    4. Steroid therapy is the mainstay of treatment. In anterior uveitis, this is given via topical eye drops. To relieve the patient’s pain, mydriatics are given as cyclopentolate or atropine drops.
    5. The patient is at risk of the following:
    Glaucoma
    Cataracts.
    Optic nerve damage.
    Retinal detachment.
    Permanent vision loss.
    6. Ankylosing spondylitis

    Like

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