Uveitis: Difference between revisions

From IDWiki
No edit summary
Β 
Line 1: Line 1:
 
==Background==
  
==Background==
  +
βˆ’
* Inflammation of the uvea, which comprises the iris, ciliary body, and choroid, or of the retina
 +
*Inflammation of the uvea, which comprises the iris, ciliary body, and choroid, or of the retina
βˆ’
** Anterior: iritis, iridocyclitis
 +
**Anterior: iritis, iridocyclitis
βˆ’
** Intermediate: pars planitis
 +
**Intermediate: pars planitis
βˆ’
** Posterior: choroiditis, retinitis, chorioretinitis
 +
**Posterior: choroiditis, retinitis, chorioretinitis
βˆ’
** Panuveitis
 +
**Panuveitis
   
 
==Differential Diagnosis==
  
==Differential Diagnosis==
 
===Infectious causes===
  
===Infectious causes===
  +
⚫
* Anterior uveitis (10% infectious)
  
βˆ’
** [[Herpes simplex virus]] (by far the most common infectious cause)
 +
*Anterior uveitis (10% infectious)
  +
**[[Herpes simplex virus]] (by far the most common infectious cause)
⚫
** [[Varicella-zoster virus]]
  
βˆ’
** [[Syphilis]]
 +
**[[Varicella-zoster virus]]
βˆ’
** [[Tuberculosis]]
 +
**[[Syphilis]]
βˆ’
** [[Lyme disease]]
 +
**[[Tuberculosis]]
βˆ’
** [[Leprosy]]
 +
**[[Lyme disease]]
  +
**[[Leprosy]]
βˆ’
* Intermediate uveitis (rarely infectious)
 +
*Intermediate uveitis (rarely infectious)
βˆ’
** [[Lyme disease]]
 +
**[[Lyme disease]]
βˆ’
* Posterior uveitis (50% infectious)
  
  ⚫
*Posterior uveitis (50% infectious)
βˆ’
** [[Toxoplasmosis]]
 +
**[[Toxoplasmosis]]
βˆ’
** [[Acute retinal necrosis]] from [[HSV]], [[VZV]], and [[CMV]]
 +
**[[Acute retinal necrosis]] from [[HSV]], [[VZV]], and [[CMV]]
βˆ’
** [[CMV]] retinitis, in immunocompromised patients
 +
**[[CMV]] retinitis, in immunocompromised patients
βˆ’
** [[Toxocara]]
  
βˆ’
** [[Syphilis]]
 +
**[[Toxocara]]
βˆ’
** [[Cat-scratch disease]]
 +
**[[Syphilis]]
  +
**[[Cat-scratch disease]]
βˆ’
** [[Candida]] endophthalmitis
 +
**[[Candida]] endophthalmitis
βˆ’
** [[West Nile virus]], causing a multifocal chorioretinitis
 +
**[[West Nile virus]], causing a multifocal chorioretinitis
βˆ’
* Panuveitis
 +
*Panuveitis
βˆ’
** [[Syphilis]]
  
βˆ’
** [[Tuberculosis]]
 +
**[[Syphilis]]
  +
**[[Tuberculosis]]
βˆ’
** [[Candida]] endophthalmitis
 +
**[[Candida]] endophthalmitis
βˆ’
** [[Leptospirosis]], without retinal or choroidal lesions
 +
**[[Leptospirosis]], without retinal or choroidal lesions
βˆ’
* Other
 +
*Other
βˆ’
** [[Brucella]], causing a chronic relapsing uveitis that is typically posterior but can be anterior or panuveitis[[CiteRef::rolando2008oc]]
 +
**[[Brucella]], causing a chronic relapsing uveitis that is typically posterior but can be anterior or panuveitis[[CiteRef::rolando2008oc]]
βˆ’
** [[Chikungunya]]
  
βˆ’
** [[Ebola virus]]
 +
**[[Chikungunya]]
βˆ’
** [[Zika virus]]
 +
**[[Ebola virus]]
  ⚫
**[[Zika virus]]
  +
  +
== Clinical Manifestations ==
  +
  +
* Anterior: painful red eye and vision loss
  +
* Intermediate: vision loss with floaters, usually painless (and rarely infectious)
  +
* Posterior: painless vision loss
   
 
[[Category:Ophthalmology]]
  
[[Category:Ophthalmology]]
  +
[[Category:Infectious diseases]]
  +
[[Category:Eye infections]]

Latest revision as of 10:38, 12 August 2020

Background

  • Inflammation of the uvea, which comprises the iris, ciliary body, and choroid, or of the retina
    • Anterior: iritis, iridocyclitis
    • Intermediate: pars planitis
    • Posterior: choroiditis, retinitis, chorioretinitis
    • Panuveitis

Differential Diagnosis

Infectious causes

Clinical Manifestations

  • Anterior: painful red eye and vision loss
  • Intermediate: vision loss with floaters, usually painless (and rarely infectious)
  • Posterior: painless vision loss

References

  1. ^  Isaias Rolando, Liset Olarte, Gustavo Vilchez, Marina Lluncor, Larissa Otero, Mark Paris, Carlos Carrillo, Eduardo Gotuzzo. Ocular Manifestations Associated with Brucellosis: A 26‐Year Experience in Peru. Clinical Infectious Diseases. 2008;46(9):1338-1345. doi:10.1086/529442.

Retrieved from "https://idwiki.org/index.php?title=Uveitis&oldid=5867"
Powered by MediaWiki
Powered by Semantic MediaWiki