and Systemic Disease diabetic retinopathy葡萄膜炎和全身性疾病糖尿病视网膜病变课件.ppt

Uveitis and Systemic Disease Classification When to investigate ? Common Causes Systemic associations Uveitis and Systemic Disease Uveitis Uveitis and Systemic Disease Complications from chronic uveitis Complications from chronic uveitis are common and may result in severe visual loss.. Macular oedema can complicate any type of uveitis and can cause substantial visual loss. Cataract is common in chronic uveitis and its treatment with corticosteroids. Techniques for cataract surgery and perioperative management have improved greatly, and most patients with uveitis are now suitable for intraocular lens implantation and do well.18 Glaucoma is the most overlooked complication of chronic uveitis and has several causes.19 Medical management with topical agents such as ?blockers control the elevation of intraocular pressure in most patients. Some patients also require oral carbonic anhydrase inhibitors, while surgical intervention is reserved for those who have progressive visual loss or uncontrollable intraocular Uveitis and Systemic Disease  Uveitis and Systemic Disease Uveitis and Systemic Disease Uveitis and Systemic Disease Uveitis and Systemic Disease Uveitis and Systemic Disease Uveitis and Systemic Disease-History and examination When to investigate One of the most pressing questions that arises in the mind of every ophthalmologist who sees a new case of uveitis is what is the cause of this disease? In evaluating patients with uveitis, the ophthalmologist must consider that a lengthy list of infections, autoimmune systemic diseases, distinctive inflammatory conditions and masquerade syndromes may all cause uveal inflammation. Despite this array of potential diagnoses, the vast majority of patients have disease that defies categorisation. Uveitis and Systemic Disease-avoid a shotgun approach to investigation !!Do not wade in like John Wayne !! General Investigations A recent retrospective review of patients with various types of uveitis showed the follo