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Intraocular Inflammation and Uveitis (BCSC Book 9)

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What is the SUN Grading for anterior chamber cell (when visualized with a 1mmx1mm high power beam at 46-60 degrees with full intensity light in a dim room)?
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What is the SUN Grading for anterior chamber cell (when visualized with a 1mmx1mm high power beam at 46-60 degrees with full intensity light in a dim room)?
Grade 0 = <1 cell
Grade 1/2+ = 1-5
Grade 1+ = 6-15
Grade 2+ = 16-25
Grade 3+ = 26-50
Grade 4+ = >50
What is the SUN grading for anterior chamber flare?
Grade 0 = none
Grade 1+ = faint
Grade 2+ = moderate (iris and lens details still clear)
Grade 3+ = Marked (iris and lens details hazy)
Grade 4+ = Intense (fibrin or plasmoid aqueous)
1. True or false? There is a similar diagnostic value of anterior chamber and vitreous samples in diagnosing infectious causes of uveitis (like HSV, VZV, CMV)?
2. What is the role of systemic NSAIDs in the treatment of ocular inflammation?
3. How do you preform a sub-Tenon injection?
4. Periocular injection of steroid is contraindicated in patients with _____ and _____.
1. TRUE
2. systemic NSAIDs can be used alone for treatment of mild to moderate non-necrotizing anterior scleritis
3. 25-gauge, 5/8 inch needle is injected into the superotemporal quadrant bevel down against the sclera with a side to side movement (to make sure you haven't pierced the sclera)
4. infectious uveitis and necrotizing scleritis
1. If systemic steroid therapy of _____mg or more for more than _____ months is required, you should start immunosuppressant therapy.
2. Which IMT drug is the only one currently FDA approved in the USA for treatment of uveitis?
3. Patients receiving which class of drugs need to be on TMP-SMX for PCP prophylaxis?
1. 10mg or more for 3 months or more
2. adalimumab (for noninfectious posterior/pan uveitis)
3. alkylating agents (cyclophosphamide or chlorambucil)
1. Which drugs are antimetabolites?
2. Which one tends to work the fastest?
3. Which one tends to be the least well tolerated?
4. Which one is 1st line for IMT in children?
1. azathioprine, methotrexate and mycophenolate mofetil
2. mycophenolate mofetil is fastest
3. azathioprine is least well tolerated
4. methotrexate