Angry Sclera
How do you distinguish episcleritis from scleritis on exam?
Phenylephrine will blanch episcleritis (though no completely)
How long to wait for cataract surgery in a uveitis patient?
3 months of quiescence
What is a sign of chronic JIA?
Band keratopathy
What is pars planitis?
Idiopathic inflammation of the vitreous
Snowballs/snowbanking
White dot syndrome with usually normal fundus
AZOOR
What is a serious risk of using mitomycin C in pterygium surgery?
Postsurgical Scleritis
What is the most common source of UGH Syndrome?
Sulcus placement of 1-piece IOL
What are 2 risk factors for JIA uveitis?
ANA+, Oligoarticular
What are RETINAL findings of pars planitis?
Peripheral retinal phlebitis/sheathing
Macular edema
What infection can mimic serpiginous choroiditis?
TB
What is the appearance of burned-out scleritis?
Scleral thinning, staphyloma
What defines CHRONIC anterior uveitis?
Relapses <3 months after stopping therapy
Name the gene(s) associated with JIA
HLA-DRB1*11 and *13
What diagnosis should you NOT MISS if you see isolated vitritis in an elderly patient?
CNS lymphoma
Most common malignancy associated with CAR
Small cell lung cancer
70-year old lady who started taking a new medication 1 week ago presents with scleritis. What med did she most likely start?
Bisphosphonates
What % of US population is HLA-B27 positive? (Range of 10)
8%
Which JIA patients should get an eye exam every 3 months?
ANA+, age of onset <6 years, duration <4 years
What immunomodulators can worsen MS?
TNF inhibitors
(Get MRI before starting this!)
Which white dot syndromes are unilateral? Which can progress to bilateral?
MEWDS
AZOOR (can become bilateral)
What are signs of posterior scleritis?
T-sign (sub-Tenon fluid)
Subretinal exudates/fluid
Disc edema
Choroidal folds/effusions
What is the difference between phacoantigenic and phacolytic uveitis?
Phacoantigenic: traumatic/surgical disruption of lens capsule (zonal granulomatous)
Phacolytic: hypermature cataract (lipid-laden macrophages)
A JIA patient is ANA-, was diagnosed at age 5, and is now almost 7 years old. How often should she see an eye doctor?
Every 6 months
Which treatment for MS can worsen macular edema?
Fingolimod
Which white dot syndromes affect men and women equally?
Serpiginous, APMPPE
All others: F>M