UVEITIC GLAUCOMA:葡萄膜炎并发青光眼.ppt

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Aside…DDx Krukenberg Spindle PDS Young Myopic Male 10% have glaucoma ↑ risk RD Trauma Iris infarction (e.g. zoster, ACG) Tumor Uveitis ??? ?????? ???????? : ??? ???? ? ?????? ?? ????? ?????? Glaucoma in 11% with ocular sarcoid (AJO 1978; 86:648) Glaucoma in 34% with ocular sarcoid (Jpn J Ophthalmol 2002;46:556-62 ) Most common mechanism of glaucoma : - obstruction of TM with inflammatory debris or nodules (Ann NY Acad Sci 1976; 278:445) Other mechanisms: Inflammatory cell infiltration around the inner and outer walls of Schlemm’s canal Iris bombe with PAS formation NVI and NVA Sarcoidosis – Anterior Uveitis Posner Schlossman Syndrome Fuch’s heterochromic iritis Presentation Acute BOV, haloes, pain. Recurrent episodes Asymptommatic. May have mild BOV Cells Mild inflammation In AC, anterior vitreous KPs Fine, few, may be stellate Small white stellate KPs, scattered diffusely Iris Heterochromia ( diff stromal atrophy) Absence of posterior synechiae. Fine abnormal blood vessels on gonio Other features Cataract. Posner Schlossman Syndrome Fuch’s heterochromic iritis Presentation Acute BOV, haloes, pain. Recurrent episodes Asymptommatic. May have mild BOV Cells Mild inflammation In AC, anterior vitreous KPs Fine, few. May be stellate Small white stellate KPs, scattered diffusely Iris Heterochromia ( diff stromal atrophy) Absence of posterior synechiae. Fine abnormal blood vessels on gonio Other features Cataract. Features Described in 1948 by Posner and Schlossman “Glaucomatocylitic crisis” char

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