Edit concept Question Editor Create issue ticket

Anterior Synechiae

Anterior Synechiae of Iris


Presentation

  • […] on Admission - All) Total Medicare Hospitalizations - Jan 2017 to Dec 2017 (Present on Admission - All) Total Medicare Hospitalizations - Jan 2013 to Dec 2017 (Present on Admission - All) Total National Projected Hospitalizations - Annualized (Present[dexur.com]
  • PAS were identified by gonioscopy and defined as abnormal adhesions of the iris to the angle that were at least half a clock hour in width and present to the level of the anterior trabecular meshwork or higher.[ncbi.nlm.nih.gov]
  • Conclusions: Significant synechial angle closure is present in APAC eyes at presentation. This suggests that PAS formation may be an important underlying mechanism in the pathogenesis of APAC.[iovs.arvojournals.org]
  • Glaucoma is frequently present. Importantly, there is a wide range in the presentation of clinical features.[disorders.eyes.arizona.edu]
Developmental Delay
  • Short stature has been noted and the amount of developmental delay is highly variable. Renal hypodysplasia and hydronephrosis have been described.[disorders.eyes.arizona.edu]
Pseudotumor
  • Encyclopedia) Eye redness (Medical Encyclopedia) Fluorescein angiography (Medical Encyclopedia) Fluorescein eye stain (Medical Encyclopedia) Heterochromia (Medical Encyclopedia) Ophthalmoscopy (Medical Encyclopedia) Orbit CT scan (Medical Encyclopedia) Orbital pseudotumor[icdlist.com]
Pupillary Abnormality
  • abnormalities Inclusion term(s): Deformed pupil Ectopic pupil Rupture of sphincter, pupil H21.561 Pupillary abnormality, right eye H21.562 Pupillary abnormality, left eye H21.563 Pupillary abnormality, bilateral H21.569 Pupillary abnormality, unspecified[icd10coded.com]
  • abnormalities 364.76 - Iridodialysis 364.77 - Recession of chamber angle of eye[emedcodes.com]
  • abnormalities 364.76 Iridodialysis 364.77 Recession of chamber angle of eye 364.81 Floppy iris syndrome 364.82 Plateau iris syndrome 364.89 Other disorders of iris and ciliary body 364.9 Unspecified disorder of iris and ciliary body[healthprovidersdata.com]
Pupillary Abnormality
  • abnormalities Inclusion term(s): Deformed pupil Ectopic pupil Rupture of sphincter, pupil H21.561 Pupillary abnormality, right eye H21.562 Pupillary abnormality, left eye H21.563 Pupillary abnormality, bilateral H21.569 Pupillary abnormality, unspecified[icd10coded.com]
  • abnormalities 364.76 - Iridodialysis 364.77 - Recession of chamber angle of eye[emedcodes.com]
  • abnormalities 364.76 Iridodialysis 364.77 Recession of chamber angle of eye 364.81 Floppy iris syndrome 364.82 Plateau iris syndrome 364.89 Other disorders of iris and ciliary body 364.9 Unspecified disorder of iris and ciliary body[healthprovidersdata.com]
Burning Eyes
  • There was no correlation between the development of PAS and sex, width of the anterior chamber angle, or the number of laser burns.[ncbi.nlm.nih.gov]
Anisocoria
  • NIH: National Eye Institute Anisocoria (Medical Encyclopedia) Choroidal dystrophies (Medical Encyclopedia) Coloboma of the iris (Medical Encyclopedia) Episcleritis (Medical Encyclopedia) Eye and orbit ultrasound (Medical Encyclopedia) Eye burning - itching[icdlist.com]
Withdrawn
  • The knife is then withdrawn and a spatula, 15.0 mm long and 0.5 mm wide, with blunt edges (Fig 1 C ) is introduced into[jamanetwork.com]
  • The latter remedy is withdrawn when a glaucomatous condition is present. The constitutional treatment which has been suggested in connection with iritis is equally applicable here. Injuries of the Ciliary Body.[operatingmicroscopes.com]
Fear
  • Because of the fear of malignant melanoma with superficial growth, we excised the lesions.[ncbi.nlm.nih.gov]
Pendular Nystagmus
  • Pendular nystagmus and esotropia are common. MRI studies reveal optic nerves and the chiasm that are either absent or abnormally small. Systemic Features: This condition is nonsyndromic and has no systemic abnormalities.[disorders.eyes.arizona.edu]

Workup

  • Case 1 A 32-year-old Caucasian woman with unilateral, recurrent granulomatous uveitis of the left eye with a negative workup developed CME that responded to repeated periocular injections of triamcinolone acetonide (Figure 2).[eyeworld.org]
  • Disease Classification, Workup and Diagnosis When diagnosing anterior uveitis, you must consider a variety of presenting signs and associated features.[reviewofoptometry.com]
  • Figure 19: Anterior segment optical coherence tomography of a case of operated penetrating keratoplasty showing abnormal apposition at the graft-host junction Click here to view Implantable collamer lens AS-OCT can be used in preoperative workup of phakic[ojoonline.org]

Treatment

  • Correlation analysis was used to evaluate relationships between the highest IOP level without treatment and the extent of PAS.[ncbi.nlm.nih.gov]
  • Treatment Treatment Options: The high risk of glaucoma demands lifelong monitoring of intraocular pressure.[disorders.eyes.arizona.edu]
  • Medical Care No specific medical management exists pertaining to the treatment of peripheral anterior synechiae (PAS). In general, the treatment of the underlying etiology prevents the formation of peripheral anterior synechiae.[emedicine.medscape.com]
  • Treatment In many cases, no treatment is necessary. If an underlying cause is diagnosed, it should be treated appropriately. In cases where glaucoma is present, laser surgery to repair the synechiae may be attempted.[snapcats.org]

Prognosis

  • Comparison of rubella virus- and herpes virus-associated anterior uveitis: clinical manifestations and visual prognosis . Ophthalmology . 2011 Oct ;118(10): 1905 – 1910 .[tandfonline.com]
  • If the pupil can be fully dilated during the treatment of iritis, the prognosis for recovery from synechia is good. This is a treatable status. To subdue the inflammation, use topical corticosteroids.[en.wikipedia.org]
  • Prognosis. The prognosis in cyclitis is always grave, especially so in the plastic form.[operatingmicroscopes.com]
  • If the pupil can be fully dilated during 4. the treatment of iritis, the prognosis for recovery from synechiae is good. Inflammation from synechiae or synechia may be treated with topical corticosteroids.[slideshare.net]
  • Corneal opacities can be treated with transplantation but the prognosis is often guarded when glaucoma is present.[disorders.eyes.arizona.edu]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • […] patients, and is strongly advised for secondary etiologies.[emedicine.medscape.com]
  • Published on Feb 2, 2015 Synechia, Types-anterior, posterior, annular, total, signs and symptoms, Etiologies, Management 0 Comments 11 Likes Statistics Notes Be the first to comment Views Total views 4,799 On SlideShare 0 From Embeds 0 Number of Embeds[slideshare.net]
  • Frequently, a specific ocular history—in conjunction with a careful slit lamp examination—can lead to the correct etiology of the uveitis without any further testing or laboratory studies. ( See “Derivation of Uveitis Etiology from Ocular History,” page[reviewofoptometry.com]
  • Etiology and Pathophysiology Synechiae are most commonly formed during states of inflammation and cellular proliferation.[eyewiki.aao.org]

Epidemiology

  • The authors sought to assess the validity of this epidemiological classification by exploring the relation between drainage angle width, peripheral anterior synechiae (PAS) and glaucomatous optic neuropathy (GON).[ncbi.nlm.nih.gov]
  • A consensus definition of the characteristics an “occludable” drainage angle has come into common usage in epidemiological research.[bjo.bmj.com]
  • Keywords: clinical (human) or epidemiologic studies: risk factor assessment 2005, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved.[iovs.arvojournals.org]
  • Epidemiology Frequency United States Peripheral anterior synechiae occurs infrequently. International Peripheral anterior synechiae occurs infrequently.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology Peripheral anterior synechiae may form under the following 2 circumstances: a nonproliferative state or a proliferative state.[emedicine.medscape.com]
  • Etiology and Pathophysiology Synechiae are most commonly formed during states of inflammation and cellular proliferation.[eyewiki.aao.org]

Prevention

  • Conditions Caused By Synechiae Both types of synechia may prevent the aqueous fluid from flowing freely through the anterior and posterior chambers of the eye.[synechiae.com]
  • If this is done the keratoplasty can be performed later without causing further trauma to the iris, thus preventing such additional complications as hemorrhages and traumatic inflammation of the iris during the postoperative recovery period.[jamanetwork.com]
  • In general, the treatment of the underlying etiology prevents the formation of peripheral anterior synechiae.[emedicine.medscape.com]
  • Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light.[icdlist.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!