the eye in systemic disease. ● numerous conditions have eye symptoms associated with them ●...
TRANSCRIPT
![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](https://reader035.vdocuments.us/reader035/viewer/2022062516/56649dc65503460f94ab9c33/html5/thumbnails/1.jpg)
The Eye in Systemic Disease
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The Eye in Systemic Disease
● Numerous conditions have eye symptoms associated with them
● Different parts of the eye are associated with different syndrome
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The Eye in Systemic Disease
● Structure of Talk:– Mind Map
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Eye
Amaurosis
Fugax
CRAO Uveitis
Cataracts
Abnorm Eye
Movements
Pupillary Abnormali
ties
Retinal vessel disease
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Common Eye Problems
Cataracts
Eye
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CATARACTS
Metabolic
Other Systemic Diseases
Drug Induced
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CATARACTS
Meta-bolic
DMG6PD
PFKD
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CATARACTS
Metabolic
Other Systemic Diseases
MuscularDystroph
y
Derma-titis
NF 2
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CATARACTS
Metabolic
Other Systemic Diseases
Drug Induced
Steroids
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Common Eye Problems
Eye
Amaurosis
Fugax
CRAO Uveitis
Cataracts
Abnorm Eye
Movements
Pupillary Abnormali
ties
Retinal vessel disease
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Common Eye Problems
Eye
Uveitis
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Uveitis
Systemic Dis&
Syndromes
InfectionsInfestations
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Uveitis
Systemic Dis&
Syndromes
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Uveitis
Systemic Dis&
Syndromes
Sarcoid
BehcetsReiter's
AnkSpond
Crohn'sDis
UCJCA
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Uveitis
Sarcoid
BehcetsReiter's
AnkSpond
Crohn'sDis
UCJCA
Polyarthritis
Systemic Dis&
Syndromes
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Uveitis
Sarcoid
BehcetsReiter's
AnkSpond
Crohn'sDis
UCJCA
Systemic Dis&
Syndromes
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Uveitis
Sarcoid
BehcetsReiter's
AnkSpond
Crohn'sDis UC
JCA
Systemic Dis&
Syndromes
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Uveitis
Sar-coid
Beh-cetsReiter's
AnkSpond
UCJCA
Sacro-iliitis (also
spine)
Systemic Dis&
Syndromes
Crohn'sDis
UCJCA
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Uveitis
Sarcoid
Behcets
Urethritis
Arthritis
Systemic Dis&
Syndromes
Reiter's
AnkSpond
Crohn'sDis
UCJCA
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Uveitis
Sarcoid
Behcets
Overreaction ofImmune System
Systemic Dis&
Syndromes
Reiter's
AnkSpond
Crohn'sDis
UCJCA
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Uveitis
Sarcoid
Beh-cetsReiter's
AnkSpond
Crohn'sDis
UCJCA
oral ulcers
Genital ulcersSkin
Lesions
Systemic Dis&
Syndromes
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Uveitis
Sarcoid
BehcetsReiter's
AnkSpond
Crohn'sDis
UCJCA
Granulomas
Unknown AetiologySystemic
Dis&
Syndromes
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Uveitis
Sarcoid
BehcetsReiter's
AnkSpond
Crohn'sDis
UCJCA
Systemic Dis&
Syndromes
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Uveitis
Systemic Dis&
Syndromes
InfectionsInfestations
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Uveitis
Infections
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Infections
TB
CandidaHerpes Zoster
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Uveitis
Systemic Dis&
Syndromes
InfectionsInfestations
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Uveitis
Infestations
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Infestations
Toxoplasmosis
Toxocariasis
Pneumocystosis
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Common Eye Problems
Eye
Amaurosis
Fugax
CRAO Uveitis
Cataracts
Abnorm Eye
Movements
Pupillary Abnormali
ties
Retinal vessel disease
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Common Eye Problems
Eye
Abnorm Eye
Movements
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Common Eye Problems
Abnorm Eye
Movements
CVA
Aneurysm DM
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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](https://reader035.vdocuments.us/reader035/viewer/2022062516/56649dc65503460f94ab9c33/html5/thumbnails/34.jpg)
Common Eye Problems
Eye
CRAO
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CRAO
Source ofEmboli
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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](https://reader035.vdocuments.us/reader035/viewer/2022062516/56649dc65503460f94ab9c33/html5/thumbnails/37.jpg)
Common Eye Problems
EyeRetinal vessel disease
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Retinal vessel disease
DiabetesMellitus
Hypertension Hypercholesterolaemia
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Retinal vessel disease
DiabetesMellitus
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DiabetesMellitus
BackgroundRetinopathy
Pre-prolifRetionopa
thy
Proliferative
Retinopathy
Maculopathy
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DiabetesMellitus
BackgroundRetinopathy
Pre-prolifRetionopa
thy
Proliferative
Retinopathy
Maculopathy
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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
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DiabetesMellitus
Background
Retinopathy
Pre-prolifRetionopa
thy
Proliferative
Retinopathy
Maculopathy
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DiabetesMellitus Pre-prolif
Retinopathy
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Pre-prolifRetionopathy
Cotton WoolSpots
Venous Irregularity
NORMAL EYESIGHT
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Pre-prolifRetionopathy
REFER!
50% of patients progress to
proliferative retinopathy within 1-2 years
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DiabetesMellitus
Background
Retinopathy
Pre-prolifRetionopa
thy
Proliferative
Retinopathy
Maculopathy
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DiabetesMellitus
Proliferative
Retinopathy
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ProliferativeRetinopathy
Neo-vascularisa
tion
NVD
NVE
NORMALEYESIGHT,but threatened....
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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](https://reader035.vdocuments.us/reader035/viewer/2022062516/56649dc65503460f94ab9c33/html5/thumbnails/57.jpg)
DiabetesMellitus
Background
Retinopathy
Pre-prolifRetino-pathy
ProliferativeRetinopathy
Maculopathy
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DiabetesMellitusMaculopathy
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Maculopathy
Early and
Diffuse
Severe and
Ischaemic
EYESIGHTAFFECTED
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Maculopathy
REFER!
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Retinal vessel disease
DiabetesMellitus
Hyper-tension
Hypercholest-
erolaemia
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Retinal vessel disease
Hyper-tension
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Hypertension
Grade I
Grade II
Grade III
Grade IV
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Hypertension
Grade I
Grade II
Grade III
Grade IV
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Hypertension
Grade I
Grade II
Grade III
Grade IV
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Hypertension
Grade I
Grade II
Grade III
Grade IV
Haemorr-
hages
CottonWoolSpots
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Hypertension
Grade I
Grade II
Grade III
Grade IV
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Hypertension
Grade I
Grade II
Grade III
Grade IV
SilverWiring
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Hypertension
Grade I
Grade II
Grade III
Grade IV
A-V Nipping
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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](https://reader035.vdocuments.us/reader035/viewer/2022062516/56649dc65503460f94ab9c33/html5/thumbnails/73.jpg)
Hypertension
Grade I
Grade II
Grade III
Grade IV
Papill-oedem
a
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Retinal vessel disease
DiabetesMellitus
Hyper-tension
Hypercholest-erolaemia
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Common Eye Problems
Eye
Amaurosis
Fugax
CRAO Uveitis
Cataracts
Abnorm Eye
Movements
Pupillary Abnormali
ties
Retinal vessel disease
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Common Eye Problems
Eye
Amaurosis
Fugax
CRAO Uveitis
Cataracts
Abnorm Eye
Movements
Pupillary Abnormali
ties
Retinal vessel disease
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Amaurosis Fugax = painless,
transient (secs/mins), partial or
complete
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Amaurosis Fugax
EmbolicEmbolic
Vasospastic/
Haemodynamic
Neourologic
Ocular
Idiopathic
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Amaurosis Fugax
EmbolicEmbolic
Vasospastic/
Haemodynamic
Neuro-logic
Ocular
Idiopathic
OpticNeuritis
(MS)
Migraine
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Amaurosis Fugax
Embolic
Vasospastic/
Haemodynamic
Neourologic
Ocular
Idiopathic
TIA(cardiac/carotid/other)
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Amaurosis Fugax
EmbolicEmbolic
Vasospastic/
Haemo-dynamic
Neuro-logic
Ocular
Idio-pathicTemp
Arteritis
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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](https://reader035.vdocuments.us/reader035/viewer/2022062516/56649dc65503460f94ab9c33/html5/thumbnails/83.jpg)
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](https://reader035.vdocuments.us/reader035/viewer/2022062516/56649dc65503460f94ab9c33/html5/thumbnails/84.jpg)
PupillaryDefects
Horner'sSyndrom
e
CVA/SOL
Adie’s Pupil
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Common Eye Problems
Eye
Amaurosis
Fugax
CRAO Uveitis
Cataracts
Abnorm Eye
Movements
Pupillary Abnormali
ties
Retinal vessel disease