Traumatic iritis: Difference between revisions
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**“Flare:" protein floating in the anterior chamber from inflamed blood vessels. (smoke) | **“Flare:" protein floating in the anterior chamber from inflamed blood vessels. (smoke) | ||
*Hypopyon (severe cases): leukocytic exudate in anterior chamber | *Hypopyon (severe cases): leukocytic exudate in anterior chamber | ||
==Differential Diagnosis== | |||
==Diagnosis== | |||
==Treatment== | ==Treatment== | ||
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#Steroids in consult with optho (rule out infection first) | #Steroids in consult with optho (rule out infection first) | ||
== | ==Disposition== | ||
F/u with optho in 24-48 hours | F/u with optho in 24-48 hours | ||
== | ==See Also== | ||
==References== | |||
*PEER VIII Q&A | *PEER VIII Q&A | ||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
Revision as of 13:48, 8 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
Differential Diagnosis
Diagnosis
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)
Disposition
F/u with optho in 24-48 hours
See Also
References
- PEER VIII Q&A