The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ●...

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The Eye in Systemic Disease

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Transcript of The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ●...

Page 1: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

The Eye in Systemic Disease

Page 2: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

The Eye in Systemic Disease

● Numerous conditions have eye symptoms associated with them

● Different parts of the eye are associated with different syndrome

Page 3: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

The Eye in Systemic Disease

● Structure of Talk:– Mind Map

Page 4: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease

Page 5: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Cataracts

Eye

Page 6: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

CATARACTS

Metabolic

Other Systemic Diseases

Drug Induced

Page 7: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

CATARACTS

Meta-bolic

DMG6PD

PFKD

Page 8: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

CATARACTS

Metabolic

Other Systemic Diseases

MuscularDystroph

y

Derma-titis

NF 2

Page 9: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

CATARACTS

Metabolic

Other Systemic Diseases

Drug Induced

Steroids

Page 10: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease

Page 11: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Uveitis

Page 12: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Systemic Dis&

Syndromes

InfectionsInfestations

Page 13: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Systemic Dis&

Syndromes

Page 14: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Systemic Dis&

Syndromes

Sarcoid

BehcetsReiter's

AnkSpond

Crohn'sDis

UCJCA

Page 15: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Sarcoid

BehcetsReiter's

AnkSpond

Crohn'sDis

UCJCA

Polyarthritis

Systemic Dis&

Syndromes

Page 16: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Sarcoid

BehcetsReiter's

AnkSpond

Crohn'sDis

UCJCA

Systemic Dis&

Syndromes

Page 17: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Sarcoid

BehcetsReiter's

AnkSpond

Crohn'sDis UC

JCA

Systemic Dis&

Syndromes

Page 18: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Sar-coid

Beh-cetsReiter's

AnkSpond

UCJCA

Sacro-iliitis (also

spine)

Systemic Dis&

Syndromes

Crohn'sDis

UCJCA

Page 19: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Sarcoid

Behcets

Urethritis

Arthritis

Systemic Dis&

Syndromes

Reiter's

AnkSpond

Crohn'sDis

UCJCA

Page 20: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Sarcoid

Behcets

Overreaction ofImmune System

Systemic Dis&

Syndromes

Reiter's

AnkSpond

Crohn'sDis

UCJCA

Page 21: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Sarcoid

Beh-cetsReiter's

AnkSpond

Crohn'sDis

UCJCA

oral ulcers

Genital ulcersSkin

Lesions

Systemic Dis&

Syndromes

Page 22: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Sarcoid

BehcetsReiter's

AnkSpond

Crohn'sDis

UCJCA

Granulomas

Unknown AetiologySystemic

Dis&

Syndromes

Page 23: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Sarcoid

BehcetsReiter's

AnkSpond

Crohn'sDis

UCJCA

Systemic Dis&

Syndromes

Page 24: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Systemic Dis&

Syndromes

InfectionsInfestations

Page 25: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Infections

Page 26: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Infections

TB

CandidaHerpes Zoster

Page 27: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Systemic Dis&

Syndromes

InfectionsInfestations

Page 28: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Uveitis

Infestations

Page 29: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Infestations

Toxoplasmosis

Toxocariasis

Pneumocystosis

Page 30: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease

Page 31: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Abnorm Eye

Movements

Page 32: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Abnorm Eye

Movements

CVA

Aneurysm DM

Page 33: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease

Page 34: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

CRAO

Page 35: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

CRAO

Source ofEmboli

Page 36: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease

Page 37: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

EyeRetinal vessel disease

Page 38: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Retinal vessel disease

DiabetesMellitus

Hypertension Hypercholesterolaemia

Page 39: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Retinal vessel disease

DiabetesMellitus

Page 40: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

DiabetesMellitus

BackgroundRetinopathy

Pre-prolifRetionopa

thy

Proliferative

Retinopathy

Maculopathy

Page 41: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

DiabetesMellitus

BackgroundRetinopathy

Pre-prolifRetionopa

thy

Proliferative

Retinopathy

Maculopathy

Page 42: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

BackgroundRetinopathy

Dot Haemorrha

ges

Hard Exudates

NORMAL eyesight

-present in almost all who have had type 1 diabetes for 20 years -present in nearly 80 percent of those with type 2 disease for 20 years

Micro-aneurysms

Page 43: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.
Page 44: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.
Page 45: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

DiabetesMellitus

Background

Retinopathy

Pre-prolifRetionopa

thy

Proliferative

Retinopathy

Maculopathy

Page 46: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

DiabetesMellitus Pre-prolif

Retinopathy

Page 47: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Pre-prolifRetionopathy

Cotton WoolSpots

Venous Irregularity

NORMAL EYESIGHT

Page 48: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.
Page 49: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.
Page 50: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Pre-prolifRetionopathy

REFER!

50% of patients progress to

proliferative retinopathy within 1-2 years

Page 51: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

DiabetesMellitus

Background

Retinopathy

Pre-prolifRetionopa

thy

Proliferative

Retinopathy

Maculopathy

Page 52: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

DiabetesMellitus

Proliferative

Retinopathy

Page 53: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

ProliferativeRetinopathy

Neo-vascularisa

tion

NVD

NVE

NORMALEYESIGHT,but threatened....

Page 54: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.
Page 55: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.
Page 56: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

ProliferativeRetinopathy

REFER!

Page 57: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

DiabetesMellitus

Background

Retinopathy

Pre-prolifRetino-pathy

ProliferativeRetinopathy

Maculopathy

Page 58: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

DiabetesMellitusMaculopathy

Page 59: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Maculopathy

Early and

Diffuse

Severe and

Ischaemic

EYESIGHTAFFECTED

Page 60: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.
Page 61: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.
Page 62: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Maculopathy

REFER!

Page 63: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Retinal vessel disease

DiabetesMellitus

Hyper-tension

Hypercholest-

erolaemia

Page 64: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Retinal vessel disease

Hyper-tension

Page 65: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Hypertension

Grade I

Grade II

Grade III

Grade IV

Page 66: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Hypertension

Grade I

Grade II

Grade III

Grade IV

Page 67: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Hypertension

Grade I

Grade II

Grade III

Grade IV

Page 68: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Hypertension

Grade I

Grade II

Grade III

Grade IV

Haemorr-

hages

CottonWoolSpots

Page 69: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Hypertension

Grade I

Grade II

Grade III

Grade IV

Page 70: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Hypertension

Grade I

Grade II

Grade III

Grade IV

SilverWiring

Page 71: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Hypertension

Grade I

Grade II

Grade III

Grade IV

A-V Nipping

Page 72: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Hypertension

Grade I

Grade II

Grade III

Grade IV

Haemorr-

hages

CottonWoolSpots

Page 73: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Hypertension

Grade I

Grade II

Grade III

Grade IV

Papill-oedem

a

Page 74: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Retinal vessel disease

DiabetesMellitus

Hyper-tension

Hypercholest-erolaemia

Page 75: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease

Page 76: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease

Page 77: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Amaurosis Fugax = painless,

transient (secs/mins), partial or

complete

Page 78: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Amaurosis Fugax

EmbolicEmbolic

Vasospastic/

Haemodynamic

Neourologic

Ocular

Idiopathic

Page 79: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Amaurosis Fugax

EmbolicEmbolic

Vasospastic/

Haemodynamic

Neuro-logic

Ocular

Idiopathic

OpticNeuritis

(MS)

Migraine

Page 80: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Amaurosis Fugax

Embolic

Vasospastic/

Haemodynamic

Neourologic

Ocular

Idiopathic

TIA(cardiac/carotid/other)

Page 81: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Amaurosis Fugax

EmbolicEmbolic

Vasospastic/

Haemo-dynamic

Neuro-logic

Ocular

Idio-pathicTemp

Arteritis

Page 82: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease

Page 83: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease

Page 84: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

PupillaryDefects

Horner'sSyndrom

e

CVA/SOL

Adie’s Pupil

Page 85: The Eye in Systemic Disease. ● Numerous conditions have eye symptoms associated with them ● Different parts of the eye are associated with different syndrome.

Common Eye Problems

Eye

Amaurosis

Fugax

CRAO Uveitis

Cataracts

Abnorm Eye

Movements

Pupillary Abnormali

ties

Retinal vessel disease


Multiple Sources of P3b Associated with Different Types of ...

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Understanding Eye Pattern Measurements …rintintin.colorado.edu/~gifford/5830-AWL/Anritsu Eye...4 Figure 6. This graphic shows an eye pattern (left) with its associated pulse pattern

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Motor Vehicle Crash-Associated Eye Injuries Presenting to U.S. Emergency Departments

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Red Eye, Red Eye eye... · Pinguecula Pterygium Seasonal Allergy Acute Allergy Bacterial Conjunctivitis CLARE Carotid Cavernous Fistula RED EYE associated with Corneal Conditions

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Eye and Associated Structures 70% of all sensory receptors are in the eye Most of the eye is protected by a cushion of fat and the bony orbit Accessory.

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Mark scheme features associated with different levels of marker ...

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