3. Ant Uveitis
Uveitis
Posterior Uveitis
Pan Uveitis
Iritis
iridocyclitis

7. Viral Uveitis

8. Human viruses D.N.A Viruses R.N.A Viruses Simple viruses
Complex viruses

9. Viral Infection
Direct Contact
Ingestion
Inhalation

10. Infection Begins On An Epithelial Or Mucosal Surface And Spreads To Deeper Tissues And May Spread Through The Body Via The Blood Stream Lamphatics Or Neural Circuits.

11. Herpes Viridae Family
HSV , VZV , CMV And EBV

13. Herpes Simplex Virus Varicella – Zoster Virus

14. Anterior Uveitis
Acute Anterior Uveitis Is Often Associated With Herpetic Viral Disease
Usually With Keratoiritis Secondary To Corneal Disease

15. In Many Cases The Inflammation Becomes Chronic.

16. Nearby 100% Of Those Older Than 60 Years Of Age Harbor HSV In Their Trigeminal Ganglia At Autopsy.

17. One Theird Of The World Population Suffers From Recurrent Infection.

18. Therefore HSV Infections Represent A Large And Worldwide Public Health Problem

20. HSV HSV Type 1 : Infects Above The Waist
HSV Type 2 : Infects Below The Waist (Genital Infection)

21. HSV Primary Infection Skin Mucosal Surfaces
Via Nerve Axons To Trigemial ganglion

22. Reactivation In The Absence Of Recognized Primary Infection
In Any Of The 3 Branches
Approximately 15% Of US Population Has A History Of External Ocular HSV Infection And One Fifth Develop Stromal Keratitis, The Most Common Blinding Manifestation Of Infection.

23. Primary Ocular Infection

24. Unilateral
Blepharo Conjunctivities
Follicular
Preauricular Lymph Node
Vesicles On The Skin
May Have Epithelial Keratitis

25. Stromal Keratitis And Uveitis Are Uncommon In Primary Infection

26. Anterior Uveitis Is Often With Herpetic Viral Disease
In A Reactivation Of HSV Infection
Keratouveitis
Iritis
Trabeculitis
Iridocyclitis

28. Bilateral Anterior Uveitis In Only 3% Of Cases
Probably Immuncompromised.

29. Varicella – Zoster Virus (VZV) As HSV May Induce Keratitis
Keratoiritis
Iridocyclitis
Bilateral
Mild
Self Limited

30. Cutaneous Vesicles At The Side Of The Tip Of The Nose (Hutchinson Sign) Indicate Nasocilliary Nerve Involvement And The Eye Will Be Affected.

31. Clinical Manifestations

32. Perilimbal Injection
Myosis
Pain
Anterior Chambar Reactions

33. Kerato Uveitis
--Stromal
--Endothelial
Iritis
Iridocyclitis

34. K P, S
P S
Pupillary Mambran

35. Iris Atrophy
P S With Distortion Of The Pupil
Hypopion

36. Trabeculitis
Glaucoma
-- Acut
-- Chronic

38. Management

39. Topical Corticosteroids
Cycloplegic Agents
Topical Antiviral Agents
Systemic Antivirals

40. Acyclovir
Famciclovir
Valacyclovir

41. Varicella – Zoster (VZV)
As SHV May Case Keratoiritis
In Differential Diagnosis
Chromic Unilateral Iridocyclitis

45. VZV And Varicella (Chickenpox)
Acute Mild Nongranulomatous Self-Limited Billateral Iridocyclitis
Huchinson Sign (Nasociliary Nerve Involvement)
Great Likelihood Of Eye Involvement

46. ضمن عرض پوزش
بدلیل حجم بالای LECTUER ادامه اسلایدها امکان پذیر نمیباشد در صورت نیاز به ادامه لطفا به واحد سمعی و بصری مرکز آموزشی درمانی فیض مراجعه و یا با شماره تلفن داخلی 392 تماس حاصل نمائید
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