Uveitis葡萄膜炎眼科学英文.pptVIP

auditory (tinnitus,vertigo, and hypoacusis) neurological (meningismus, with malaise, fever, headache, nausea, abdominal pain, stiffness of the neck and back, or a combination of these factors;meningitis, CSF pleocytosis, cranial nerve palsies, hemiparesis, transverse myelitis and ciliary ganglionitis) cutaneous manifestations, including poliosis, vitiligo, and alopecia. The vitiligo often is found at the sacral region. may have no symptoms may be fever, headache, nausea, meningismus, tinnitus, and/or vertigo. orbital pain, photophobia and tearing. skin and hair may be sensitive to touch. cranial nerve palsies and optic neuritis are uncommon. prodromal phase bilateral panuveitis causing blurring of vision if initially unilateral The process can include bilateral granulomatous anterior uveitis, variable degree of vitritis, thickening of the posterior choroid with elevation of the peripapillary retinal choroidal layer, optic nerve hyperemia and papillitis, and multiple exudative bullous serous retinal detachments. acute uveitic phase gradual tissue depigmentation of skin with vitiligo and poliosis nummular depigmented scars alopecia diffuse fundus depigmentation resulting in a classic orange-red discoloration (sunset glow fundus) retinal pigment epithelium clumping and/or migration. convalescent phase repeated bouts of uveitis granulomatous anterior inflammation cataracts glaucoma ocular hypertension dysacusia chronic recurrent phase * * * Uveitis Burning of the eye Redness of the eye Blurred vision Photophobia or sensitivity to light Keratic precipitates CASE 1 Episodes are considered to be short if they last for less than 3 months Long or chronic if they last longer acute or chronic Severe——visual loss is 50% or more of prediseased vision or if there is 50% or more loss of the electroretinogram amplitudes from normal Mild——visual acuity is less than 50% decreased from baseline or the electroretinogram amplitudes are decreased by l