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Classification of uvietis: 1.Anatomical. 2.Clinical. 3.Etiological.
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:ِAnatomical 1.Anterior. a.iritis. b.iridocyclitis. 2.Intermediat. (psterior C.B. ,periphral retina, & underlying choroid). 3.Posterior. (choroid and retina posterior to the equator)
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Clinical: 1.Acute. 2.Chronic.
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Aetiological: 1.Systemic diseises: a. Spodyloarithropathies b. Inflammatory bowel disease. c.Nephritis. d. Non infectious multisystem diseases. e.diabetes. T.B., Candida, & Herpes Zoster). )2. Infectious: 3. Infestatins (toxplasmsis, Toxocariasis). 4. Idiopathic 50%
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Antrior u. Symptoms and Signs: Acute: Pain, photophopia,redness ,decrease visual acuity. Chronic: May be asymptomatic . Injection. . K.Ps. . Cells . Flare. . Iris nodule.
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Compliactins of ant. Uvietis:
1.Posterior synechia. 2. Cataract. 3. Glaucoma. 4. Cyclitic membrane.
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Intermediate U. Early: floaters. Late: decrease V.A. (vitiritis) Complications: 1.C.M.O. 2.Cataract. 3.Cyclitic membrane. 4. Tractional R.D.
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Posterior uvietis 1.Floatres. 2.Decrease V.A. (C.M.O.). Signs: Vitiritis, retinitis, and vasculitis Complications: 1. C.M.O. 2. Macular ischemia. 3.Epiretinal membrane. 4. Vascular occlusion. 5.Tractinal R.D. 6.Optic neuropathy.
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Investigations: 1.X-ray. 2. Skin test. 3.Serum tests. 4.HLA typing.
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treatment 1.Medriatics. 2.Steroids (topical, periocular, systemic, Intraviteal). 3.Immunosupressive agent (Azathioprine or Methotrixate).
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