Traumatic iritis: Difference between revisions
(dispo) |
No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Blunt trauma | *Blunt trauma: contusion and spasm of ciliary body and iris | ||
*Iridocyclitis because both the iris and the underlying ciliary body are inflamed | |||
*Iritis | |||
**HLA-B27 antigenic marker also strongly linked to spondyloarthritis such as ankylosing spondylitis | |||
==Clinical Features== | ==Clinical Features== | ||
| Line 8: | Line 11: | ||
*Sluggish pupil | *Sluggish pupil | ||
*Cell & flare | *Cell & flare | ||
*Hypopyon (severe cases) | **“Cell:” individual cells floating in the anterior chamber (look like dust specks) | ||
**“Flare:" protein floating in the anterior chamber from inflamed blood vessels. (smoke) | |||
*Hypopyon (severe cases): leukocytic exudate in anterior chamber | |||
==Treatment== | ==Treatment== | ||
#Cycloplegics (eg. homotyptine 5%) | #Cycloplegics (eg. homotyptine 5%): paralyzes the ciliary body resulting in a nonreactive, dilated pupil | ||
#PO analgesia | #PO analgesia | ||
#Steroids in consult with optho | #Steroids in consult with optho (rule out infection first) | ||
==Dispo== | ==Dispo== | ||
Revision as of 03:14, 13 January 2015
Background
- Blunt trauma: contusion and spasm of ciliary body and iris
- Iridocyclitis because both the iris and the underlying ciliary body are inflamed
- Iritis
- HLA-B27 antigenic marker also strongly linked to spondyloarthritis such as ankylosing spondylitis
Clinical Features
- Eye pain
- Decreased visual acuity in affected eye
- Photophobia (direct and consensual)
- Sluggish pupil
- Cell & flare
- “Cell:” individual cells floating in the anterior chamber (look like dust specks)
- “Flare:" protein floating in the anterior chamber from inflamed blood vessels. (smoke)
- Hypopyon (severe cases): leukocytic exudate in anterior chamber
Treatment
- Cycloplegics (eg. homotyptine 5%): paralyzes the ciliary body resulting in a nonreactive, dilated pupil
- PO analgesia
- Steroids in consult with optho (rule out infection first)
Dispo
F/u with optho in 24-48 hours
Source
- PEER VIII Q&A