Traumatic iritis: Difference between revisions
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==Treatment== | ==Treatment== | ||
#Cycloplegics (eg. homotyptine 5%): paralyzes the ciliary body resulting in a nonreactive, dilated pupil | #Cycloplegics (eg. homotyptine 5%, or cyclopentolate 2%, 3 times per day until ophthalmology follow-up): paralyzes the ciliary body resulting in a nonreactive, dilated pupil | ||
#PO analgesia | #PO analgesia | ||
#Steroids in consult with optho (rule out infection first) | #Steroids in consult with optho (rule out infection first) | ||
Revision as of 10:32, 5 November 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%, or cyclopentolate 2%, 3 times per day until ophthalmology follow-up): 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