OCULAR INFLAMMATION Pavel Stodůlka 1

OCULAR OCULAR INFLAMMATIONINFLAMMATION

Pavel Stodůlka

OCULAR INFLAMMATIONS

1. SURFACE of eye - conjunctiva1. SURFACE of eye - conjunctiva

- cornea- cornea

2. 2. UVEAL INFLAMMATIONUVEAL INFLAMMATION

3. OPTIC NERVE 3. OPTIC NERVE

UVEAL INFLAMMATIONS

UVEITISUVEITIS

UVEAL INFLAMMATIONS

1. 1. ANTERIORANTERIOR uvea uvea - iris - iris - corpus cilliare- corpus cilliare

2. 2. POSTERIORPOSTERIOR uvea uvea

- choroidea- choroidea

UVEAL INFLAMMATIONS

1. 1. ANTERIORANTERIOR uvea uvea - iris - iris - corpus cilliare- corpus cilliare

2. 2. POSTERIORPOSTERIOR uvea uvea

- choroidea- choroidea

Inflammation of anterior uvea

IRIDOCYIRIDOCYCCLITISLITIS

inflammation ofinflammation of

iris iris & corpus cilliare& corpus cilliare

IRIDOCYCLITIS

dull paindull pain

pain at accommodationpain at accommodation

pain while looking at lightpain while looking at light

IRIDOCYCLITIS

1. 1. cells in anterior chambercells in anterior chamber

2. fibrin 2. fibrin in anterior chamberin anterior chamber

3. endot3. endothelial precipitateshelial precipitates

4. hypopyon4. hypopyon

IRIDOCYCLITIS

TyndalizTyndaliztiontion

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IRIDOCYCLITIS

TyndalizaTyndalizationtion

hypopyonhypopyon

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IRIDOCYCLITIS

1. 1. cells in anterior chambercells in anterior chamber

2. fibrin 2. fibrin in anterior chamberin anterior chamber

3. endot3. endothelia precipitateshelia precipitates

4. hypopyon4. hypopyon

COMPLICATIONS of IRIDOCYCLITIS

1. 1. POSTERIORPOSTERIOR SYNECHI SYNECHIAEAE

2. 2. SECLUSION of PUPILSECLUSION of PUPIL

3. O3. OCLUSION of PUPILCLUSION of PUPIL

4. 4. ANTERIOR ANTERIOR SYNECHI SYNECHIAAEE

COMPLICATIONS of IRIDOCYCLITIS

5. 5. SECONDARYSECONDARY GLA GLAUCOMAUCOMA

6. 6. CCATARAATARACCTT

ETHIOLOGY ofIRIDOCYCLITIS

1. EX1. EXTERNALTERNAL - - infe infectionction

2. 2. INTERNAL INTERNAL - - metastaticmetastatic

-- iimmmunopatmunopathhologicologic

-- systemic diseases systemic diseases

ETHIOLOGY ofIRIDOCYCLITIS

InIn 80% 80% unkonwnunkonwn

THERAPY ofIRIDOCYCLITIS

1. 1. steroidssteroids, ATB – , ATB – systemic & localsystemic & local

2. anti VEGF - Avastin2. anti VEGF - Avastin

3. mydria3. mydriaticstics

4.4. immunomodulation immunomodulation

UVEAL INFLAMMATIONS

1. 1. ANTERIORANTERIOR uvea uvea - iris - iris - corpus cilliare- corpus cilliare

2. 2. POSTERIORPOSTERIOR uvea uvea

- choroidea- choroidea

UVEAL INFLAMMATIONS

1. 1. ANTERIORANTERIOR uvea uvea - iris - iris - corpus cilliare- corpus cilliare

2. 2. POSTERIORPOSTERIOR uvea uvea

- choroidea- choroidea

POSTERIOR UVEA INFLAMMATION

CHORIOIDITISCHORIOIDITIS

CHORIORETINITISCHORIORETINITIS

CHORIORETINITIS

PAINLESSPAINLESS

VISUAL FIELD DEFECTSVISUAL FIELD DEFECTS

FLOUROANGIOGRAPHYFLOUROANGIOGRAPHY

Therapy of CHORIORETINITIS

retrobulbar injection of steroidsretrobulbar injection of steroids steroids p.o.steroids p.o. ATBATB p.o. p.o. antiVEFG antiVEFG intravitreal injectionintravitreal injection laser laser phphotootoccoagulaoagulationtion

Thank you for your attentionThank you for your attention

prim. MUDr. Pavel Stodůlka, Ph.D.prim. MUDr. Pavel Stodůlka, Ph.D.stodulkastodulka@@lasiklasik.cz.cz

www.LASIK.czwww.LASIK.cz