ocular inflammation pavel stodůlka 1

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OCULAR INFLAMMATION OCULAR INFLAMMATION Pavel Stodůlka

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OCULAR INFLAMMATIONS 1. SURFACE of eye - conjunctiva - cornea 2. UVEAL INFLAMMATION 3. OPTIC NERVE 4

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Page 1: OCULAR INFLAMMATION Pavel Stodůlka 1

OCULAR OCULAR INFLAMMATIONINFLAMMATION

Pavel Stodůlka

Page 2: OCULAR INFLAMMATION Pavel Stodůlka 1

OCULAR INFLAMMATIONS

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

- cornea- cornea

2. 2. UVEAL INFLAMMATIONUVEAL INFLAMMATION

3. OPTIC NERVE 3. OPTIC NERVE

Page 3: OCULAR INFLAMMATION Pavel Stodůlka 1

UVEAL INFLAMMATIONS

UVEITISUVEITIS

Page 4: OCULAR INFLAMMATION Pavel Stodůlka 1

UVEAL INFLAMMATIONS

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

2. 2. POSTERIORPOSTERIOR uvea uvea

- choroidea- choroidea

Page 5: OCULAR INFLAMMATION Pavel Stodůlka 1

UVEAL INFLAMMATIONS

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

2. 2. POSTERIORPOSTERIOR uvea uvea

- choroidea- choroidea

Page 6: OCULAR INFLAMMATION Pavel Stodůlka 1

Inflammation of anterior uvea

IRIDOCYIRIDOCYCCLITISLITIS

inflammation ofinflammation of

iris iris & corpus cilliare& corpus cilliare

Page 7: OCULAR INFLAMMATION Pavel Stodůlka 1

IRIDOCYCLITIS

dull paindull pain

pain at accommodationpain at accommodation

pain while looking at lightpain while looking at light

Page 8: OCULAR INFLAMMATION Pavel Stodůlka 1

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

Page 9: OCULAR INFLAMMATION Pavel Stodůlka 1

IRIDOCYCLITIS

TyndalizTyndaliztiontion

.... ....

..

....

......

......

Page 10: OCULAR INFLAMMATION Pavel Stodůlka 1

IRIDOCYCLITIS

TyndalizaTyndalizationtion

hypopyonhypopyon

.... ....

..

....

......

......

Page 11: OCULAR INFLAMMATION Pavel Stodůlka 1

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

Page 12: OCULAR INFLAMMATION Pavel Stodůlka 1

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

Page 13: OCULAR INFLAMMATION Pavel Stodůlka 1

COMPLICATIONS of IRIDOCYCLITIS

5. 5. SECONDARYSECONDARY GLA GLAUCOMAUCOMA

6. 6. CCATARAATARACCTT

Page 14: OCULAR INFLAMMATION Pavel Stodůlka 1
Page 15: OCULAR INFLAMMATION Pavel Stodůlka 1

ETHIOLOGY ofIRIDOCYCLITIS

1. EX1. EXTERNALTERNAL - - infe infectionction

2. 2. INTERNAL INTERNAL - - metastaticmetastatic

-- iimmmunopatmunopathhologicologic

-- systemic diseases systemic diseases

Page 16: OCULAR INFLAMMATION Pavel Stodůlka 1
Page 17: OCULAR INFLAMMATION Pavel Stodůlka 1

ETHIOLOGY ofIRIDOCYCLITIS

InIn 80% 80% unkonwnunkonwn

Page 18: OCULAR INFLAMMATION Pavel Stodůlka 1

THERAPY ofIRIDOCYCLITIS

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

2. anti VEGF - Avastin2. anti VEGF - Avastin

3. mydria3. mydriaticstics

4.4. immunomodulation immunomodulation

Page 19: OCULAR INFLAMMATION Pavel Stodůlka 1

UVEAL INFLAMMATIONS

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

2. 2. POSTERIORPOSTERIOR uvea uvea

- choroidea- choroidea

Page 20: OCULAR INFLAMMATION Pavel Stodůlka 1

UVEAL INFLAMMATIONS

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

2. 2. POSTERIORPOSTERIOR uvea uvea

- choroidea- choroidea

Page 21: OCULAR INFLAMMATION Pavel Stodůlka 1

POSTERIOR UVEA INFLAMMATION

CHORIOIDITISCHORIOIDITIS

CHORIORETINITISCHORIORETINITIS

Page 22: OCULAR INFLAMMATION Pavel Stodůlka 1

CHORIORETINITIS

PAINLESSPAINLESS

VISUAL FIELD DEFECTSVISUAL FIELD DEFECTS

Page 23: OCULAR INFLAMMATION Pavel Stodůlka 1

FLOUROANGIOGRAPHYFLOUROANGIOGRAPHY

Page 24: OCULAR INFLAMMATION Pavel Stodůlka 1

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

Page 25: OCULAR INFLAMMATION Pavel Stodůlka 1

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