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2.1
Pars Planitis

Images

WIKIDATA, CC BY-SA 4.0

Presentation

Poor visual acuity at first presentation, snowbanks and vitreoretinal traction were associated with a higher risk for poor BCVA at last presentation. [ncbi.nlm.nih.gov]

Entire Body System

  • Falling

    The cost-effectiveness of dexamethasone was estimated to fall below standard thresholds. However, there is substantial uncertainty around the model assumptions. [ncbi.nlm.nih.gov]

    Leitthema First Online: 06 August 2014 625 Downloads 2 Citations Zusammenfassung Anders als im Fall der Sehnervenentzündung ist die Assoziation der Uveitis zur multiplen Sklerose (MS) weniger bekannt, obwohl MS-Patienten etwa 10-mal häufiger von einer [link.springer.com]

    […] which is consistent with other reports in the literature, which report pars planitis in most intermediate uveitis patients, from 74% in St Louis to 98% at Duke.7,8 Sarcoidosis uveitis was found in 11.54% of our intermediate uveitis patients, which also falls [dovepress.com]

    Your ophthalmologist will determine whether you fall into this group and may prescribe eye drops to lower your eye pressure. Macula oedema Macula oedema can affect some people with chronic uveitis or uveitis that affects the back of the eye. [rnib.org.uk]

  • Surgical Procedure

    Surgical procedures may be needed to replace the vitreous (or gel-like area) or to implant a device in the eye for slow-release of corticosteroid medication Some medications can have serious side effects. [bausch.com]

Cardiovascular

  • Hypotension

    Use of ocular hypotensive prostaglandin analogues in patients with uveitis: does their use increase anterior uveitis and cystoid macular oedema? Br J Ophthalmol. 2008 Jul;92(7):916-21. [reviewofoptometry.com]

Musculoskeletal

  • Osteoporosis

    […] include: an increased appetite weight gain insomnia (difficulty sleeping) fluid retention mood changes, such as feeling irritable or anxious Side effects of oral corticosteroids that are used on a long-term basis (longer than three months) include: osteoporosis [hse.ie]

    Additionally, because of the risk of osteoporosis and because many uveitis patients are 20- to 30-year-old women, long-term steroid use should be avoided, and the lowest effective dose of oral steroids should be used. [reviewofophthalmology.com]

    However, long-term use of corticosteroids can have harmful side effects, which may include increased blood pressure, renal damage, and osteoporosis. [britannica.com]

    These can include weight gain, mood changes (feeling irritable or anxious), osteoporosis (fragile bones), stomach ulcers or diabetes. [rnib.org.uk]

Eyes

  • Band-Shaped Keratopathy

    Surgery in case of cataract, glaucoma, hypotony and band shaped keratopathy Reema Bansal: May approach it as follows:- 1. Oral corticosteroids (bilateral involvement) 2. [djo.org.in]

    Common complications seen are: disc edema, CME, cataract, glaucoma, and band-shaped keratopathy. Epiretinal and neovascular membranes occur. [ncbi.nlm.nih.gov]

Neurologic

  • Confusion

    Things are often not simple with uveitis and these other complications can confuse the overall picture. The main thing to note if anterior uveitis occurs is that there may be pain and a red eye. [uveitis.net]

    Much less commonly, retinitis pigmentosa can manifest with mild inflammation, which may be confused with uveitis. [merckmanuals.com]

    Literature analysis on IU is impaired by the confusion between pars planitis and IU without associated diagnostic that must be distinguished on the basis of ophthalmologic signs. [em-consulte.com]

Workup

Laboratory workup has not revealed the inflammation etiology. [eyetube.net]

A detailed discussion of this case along with color photos, laboratory workup, a table of associated diseases, and a schematic for management of intermediate uveitis will be presented in this poster. [aaopt.org]

The authors’ findings supported the role of routine MRI in the workup of patients with intermediate uveitis. [retinalphysician.com]

In all patients, an extensive workup based on clinical suspicion, showed a positive result from the first visit. [meajo.org]

Treatment

In case of treatment failure, switching to the other treatment arm was possible. RESULTS: Nineteen patients were included. Ten were randomized to MTX, and 9 were randomized to IFN beta. [ncbi.nlm.nih.gov]

The key to improving treatment outcomes for pars planitis is early and aggressive treatment. Because the disease can become chronic, your healthcare provider may recommend routine follow-up appointments to monitor your condition. [verywellhealth.com]

Prognosis

Visual prognosis was good and it was not age-related. Childhood onset was more frequent in boys, adult onset in women. Endocrinal factors could be involved. [ncbi.nlm.nih.gov]

Etiology

Etiology of IU was idiopathic in 59%. Multiple sclerosis (MS) (20%) and sarcoidosis (10%) were frequent systemic causes of IU. [ncbi.nlm.nih.gov]

Laboratory workup has not revealed the inflammation etiology. [eyetube.net]

Fisher’s Exact test was used to determine any association between etiologies with ethnicity, as well as etiologies with complications. [journals.plos.org]

Epidemiology

Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. [ncbi.nlm.nih.gov]

Symptoms Onset / Epidemiology Clinical features which can be seen by an ophthalmologist Frequency of complications Tests The diagnosis of intermediate uveitis is on the clinical judgement of the ophthalmologist. There is no specific test. [iritis.co.uk]

Uveitis epidemiology varies widely with geographic location; however, it remains a significant cause of vision loss throughout the world. [dovepress.com]

Keywords: inflammation • uveitis–clinical/animal model • clinical (human) or epidemiologic studies: outcomes/complications © 2004, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. [iovs.arvojournals.org]

[…] immunosuppressive agents) found that while the steroid implant treatment possibly prevents the recurrence of uveitis, there may be adverse safety outcomes, such as the increased risk for needing cataract surgery and surgery to lower intraocular pressure.[1] Epidemiology [en.wikipedia.org]

Pathophysiology

Given the functionality of the investigated polymorphism, new pathophysiological insights are gained that help to evaluate possible therapeutic targets. [ncbi.nlm.nih.gov]

It is evident that genetics plays some role in the pathophysiology of intermediate uveitis, but the importance remains unclear. [en.wikipedia.org]

These phenotypes are descriptive only and do not reflect differences in pathophysiology.7 Most patients with CIS will evolve to RRMS, the most common phenotype of MS. [retinalphysician.com]

Pathophysiology There may be an immunogenetic predisposition for the disorder in some cases (see Causes), accounting for family clustering that is seen on occasion, indicating environmental or hereditary associations. [emedicine.medscape.com]

Pathophysiology IU seems to be a T-cell mediated disease, as these cells account for up to 95% of all cell types in the vitreous of patients with IU; most of these cells are CD4+. [eyewiki.aao.org]

Prevention

Posterior synechiae in one eye and vitreous opacities in another eye with severe hypotony prevented fundoscopy. [iovs.arvojournals.org]

An increase awareness of its efficacy is required among paediatricians and ophthalmologists to prevent sight threatening complication of chronic uveitis and its treatment with long term use of steroids. [ncbi.nlm.nih.gov]

Is it possible to prevent uveitis? It is not always possible to prevent uveitis, particularly since many cases do not have a known cause. [medicinenet.com]

The best way to prevent vision loss from glaucoma is by going to the eye doctor and following your treatment plan as directed. Cataracts Cataracts are a clouding of the eye’s lens. [preventblindness.org]

This reduces pain, prevents the pupil from becoming permanently small or odd-shaped, and helps prevent glaucoma. [newcastle-hospitals.org.uk]

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2.1
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