Clinical Cases in Uveitis: Differential Diagnosis and Management

Description:

 

Intraocular inflammation is particularly difficult to diagnose and treat, often resembling a complex puzzle of patient history, symptoms, imaging, and laboratory test results. Clinical Cases in Uveitis: Differential Diagnosis and Management is a unique, case-based resource designed to help you navigate the range of challenging manifestations and presentations that often mimic other diseases. More than 90 real-world uveitis cases are presented in a highly templated, easy-to-follow format, along with step-by-step guidance on the right patient questions, assessment, differential diagnosis, testing, management, and follow-up care.

Provides a variety of patient presentations and scenarios and unique clinical situations that mirror day-to-day practice.

Covers current diagnostic imaging modalities, including optical coherence tomography (OCT), optical coherence tomography angiography, fluorescein angiography (FA), and indocyanine green angiography (ICG).

Features diagnostic and management algorithms that assist in differential diagnosis and decision making for even the most complex cases, including those in which the patient does not improve as expected, prompting a reassessment of diagnosis and management.

Contains approximately 250 high-quality images, including color anterior segment photographs, color fundus photographs, OCT images, and angiograms.

Discusses distinguishing infectious from non-infectious inflammation; when and how to start systemic immunosuppressive therapy; diagnostic criteria and management of “white dot syndromes”; pediatric uveitis; masquerade syndromes, including inherited retinal degenerations, malignancies, and paraneoplastic syndromes; and much more.

Includes the authors’ specific thought processes and approach in particularly challenging cases.

An excellent resource and study tool for ophthalmology residents and fellows, those studying for oral boards, general ophthalmologists, retina specialists, and more.

 

Table of Contents:

 

Chapter 1. Introduction to Uveitis

Abstract

References

Chapter 2. Approach to Diagnostic Testing

Abstract

Introduction

Anterior Uveitis

Intermediate Uveitis

Panuveitis

Retinal Vasculitis

Scleritis

Chapter 3. Approach to Therapy

Abstract

Introduction

General Guidelines: Local Versus Systemic Therapy

Systemic Therapy: Corticosteroids and Systemic Immunomodulatory Therapy

Local Injectable Therapies

Chapter 4. First Episode of Acute Iritis

Abstract

History of Present Illness (HPI)

Further Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Management

Follow-up

Management

Key Points

Chapter 5. Keratouveitis Secondary to Retained Lens Fragments

Abstract

History of Present Illness (HPI)

Further Questions to Ask

Assessment

Differential Diagnosis

Testing

Diagnosis

Management

Follow-up

Key Points

Chapter 6. Cytomegalovirus (CMV) Anterior Uveitis

Abstract

History of Present Illness (HPI)

Further Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 7. Chronic Anterior Uveitis

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Management

Follow-up

Management

Key Points

Chapter 8. Hypopyon Uveitis

Abstract

History of Present Illness (HPI)

Past Medical History (PMH)

Further Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Working Diagnosis

Management

Further Follow-up

Diagnosis

Management

Extended Follow-up

Key Points

Chapter 9. Herpetic Keratitis and Iritis

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management

Further Follow-up

Key Points

Chapter 10. Juvenile Idiopathic Arthritis (JIA)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up Care

Follow-up

Key Points

Chapter 11. Tubulointerstitial Nephritis and Uveitis Syndrome (TINU)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 12. Blau-Jabs Syndrome (Granulomatous Arthritis, Dermatitis and Uveitis)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 13. Postoperative Uveitis

Abstract

History of Present Illness (HPI)

Past Ocular History

Past Medical History

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Working Diagnosis

Testing

Further Follow-up

Diagnosis

Key Points

Chapter 14. Bilateral Pigment Dispersion

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management

Further Follow-up

Key Points

Chapter 15. Episcleritis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 16. Refractory Scleritis in an Older Woman

Abstract

History of Present Illness (HPI)

Eye-Related Medications

Further Questions to Ask

Assessment

Differential Diagnosis

Management

Follow-up

Assessment

Management

Follow-up

Key Points

Chapter 17. Necrotizing Scleritis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 18. Ebola Uveitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis for Panuveitis

Working Diagnosis

Further Testing

Management

Follow-up

Key Points

Chapter 19. Iris Mass and Panuveitis in a Child

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Final Diagnosis

Key Points

Diagnostic Algorithm

Chapter 20. Toxic Anterior Segment Syndrome

Abstract

History of Present Illness (HPI)

Assessment

Differential Diagnosis

Testing

Working Diagnosis

Management

Follow-up

Diagnosis

Management

Further Follow-up

Key Points

Chapter 21. Pars Planitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 22. Lyme Disease

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 23. Amyloidosis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 24. Retinoblastoma

Abstract

History of Present Illness

Questions to Ask

Testing

Assessment

Differential Diagnosis

Working Diagnosis

Further Testing

Management

Follow-up

Key Points

Chapter 25. Intraocular Foreign Body and Uveitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 26. Eales Disease

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Laboratory and Imaging Workup

Management

Follow-up

Management Algorithm

Key Points

Chapter 27. Posterior Scleritis

Abstract

History of Present Illness

Questions to Ask

Assessment

Systemic Disease Associations

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 28. Multifocal Choroiditis with Panuveitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Assessment

Management

Follow-up

Key Points

Chapter 29. Common Variable Immunodeficiency with Granulomatous Panuveitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Key Points

Chapter 30. Sarcoidosis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 31. Punctate Inner Choroidopathy (PIC)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Follow-up Examination

Follow-up Assessment

Working Diagnosis 2

Management

Follow-up

Key Points

Chapter 32. Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 33. Multiple Evanescent White Dot Syndrome (MEWDS)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 34. Serpiginous Choroidits

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up Care

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 35. Relentless (Ampiginous) Placoid Chorioretinitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 36. Uveitis with Subretinal Fibrosis Syndrome (USF)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Follow-up Examination

Working Diagnosis 2

Follow-up Management

Follow-up

Final Diagnosis

Key Points

Chapter 37. Birdshot Retinochoroidopathy (BRC)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 38. Autoimmune Retinopathy

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Further Testing

Working Diagnosis

Testing

Management

Follow-up

Diagnostic Algorithm

Key Points

Chapter 39. Melanoma-Associated Retinopathy

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 40. Hemorrhagic Occlusive Retinal Vasculitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 41. Syphilitic Posterior Placoid Chorioretinitis

Abstract

History of Present Illness

Past Medical History

Examination Findings

Questions to Ask

Assessment

Differential Diagnosis

Testing

Management

Follow-up

Diagnosis

Management

Further Follow-up

Diagnostic Algorithm for Ocular Syphilis

Key Points

Chapter 42. Syphilitic Uveitis and Outer Retinopathy

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Systemic Workup

Management

Follow-up

Key Points

Chapter 43. Tuberculous Uveitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 44. Diffuse Unilateral Subacute Neuroretinitis (DUSN)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 45. Exudative Retinal Detachment

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management

Follow-up #2

Management

Follow-up #3

Management

Follow-up #4

Key Points

Chapter 46. Endogenous Endophthalmitis

Abstract

History of Present Illness

Questions to Ask the Primary Team

Assessment

Differential Diagnosis

Management

Follow-up

Key Points

Chapter 47. Acute Retinal Necrosis (ARN)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 48. Progressive Outer Retinal Necrosis (PORN)

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 49. Toxoplasmosis

Abstract

History of Present Illness

Further Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management

Management Algorithm

Key Points

Chapter 50. Severe, Atypical Toxoplasmosis

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Management

Follow-up

Assessment

Differential Diagnosis

Working Diagnosis

Management

Follow-up #2 (3 Weeks Post-presentation)

Assessment

Final Diagnosis

Key Points

Chapter 51. Toxocariasis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 52. Systemic Lupus Erythematosus with Retinal Vasculitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 53. Cytomegalovirus (CMV) Retinitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Working Diagnosis

Management

Follow-up

Key Points

Chapter 54. Vogt-Koyanagi-Harada Disease

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Follow-up Assessment

Working Diagnosis 2

Management

Follow-up

Key Points

Chapter 55. Neuroretinitis

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Diagnosis

Management

Follow-up

Key Points

Chapter 56. Acute Exudative Polymorphous Vitelliform Maculopathy

Abstract

History of Present Illness (HPI)

Past Medical History

Further Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Management

Follow-up

Diagnosis

Management

Key Points

Chapter 57. MEK Inhibitor-Associated Retinopathy (MEKAR)

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Differential Diagnosis

Testing

Working Diagnosis

Management

Follow-up

Key Points

Chapter 58. Immune Checkpoint Inhibitor-Induced Panuveitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management

Key Points

Chapter 59. Cysticercosis

Abstract

History of Presenting Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 60. Leptospirosis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management

Further Follow-up

Key Points

Chapter 61. Granulomatosis with Polyangiitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 62. Frosted Branch Angiitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 63. Susac Syndrome (Retinal Vasculitis, Hearing Loss, and Encephalopathy)

Abstract

History of Present Illness

Questions to Ask the Family and Management Team at the Referring Hospital

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 64. IRVAN Syndrome (Idiopathic Retinal Vasculitis, Aneurysms and Neuroretinitis)

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

References

Chapter 65. Retinal Degeneration with Coats-Like Fundus

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Final Diagnosis

Key Points

Chapter 66. Congenital Zika Syndrome

Abstract

History of Present Illness

Initial Examination at 4 Months

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 67. West Nile Retinopathy

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 68. Dengue Retinopathy

Abstract

History of Present Illness

Ocular Examination

Questions Asked

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Fundus Fluorescein Angiography

Spectral Domain Optical Coherence Tomography

Management

Follow-up

Key Points

Chapter 69. Primary Vitreoretinal Lymphoma (PVRL)

Abstract

History of Present Illness

Questions to Ask

Differential Diagnosis

Working Diagnosis

Testing

Follow-up

Management

Further Follow-up

Key Points

Chapter 70. Leukemia Metastatic to the Retina

Abstract

History of Present Illness (HPI)

Further Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Further Testing

Management

Follow-up #1

Management

Follow-up #2

Management

Follow-up #3

Diagnosis

Management

Follow-up #4

Key Points

Chapter 71. New-Onset Macular Edema

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management

Follow-up #2

Management

Follow-up #3

Management

Follow-up #4

Eye-Related Medications

Assessment

Management

Follow-up #5

Management Algorithm

Key Points

Chapter 72. Cystoid Macular Edema After Infectious Uveitis

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Management

Follow-up

Management

Key Points

Chapter 73. Polypoidal Choroidal Vasculopathy (PCV) in SLE

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 74. Chronic Hypotony with Metastatic Melanoma and Checkpoint Inhibitor

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up Evaluation

Follow-up Assessment

Management

Working Diagnosis #2

Management

Follow-up

Key Points

Chapter 75. Uveitic Cataract

Abstract

History of Present Illness (HPI)

Further Questions to Ask

Assessment

Management

Follow-up

Assessment

Management

Further Follow-up

Management Algorithm

Key Points

Chapter 76. Advanced, Undetected Steroid-Induced Glaucoma

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Chapter 77. Corneal Decompensation After Dexamethasone Implant

Abstract

History of Present Illness (HPI)

Questions to Ask

Assessment

Management

One-Hour Follow-up

Management

Further Follow-up

Management

Key Points

Chapter 78. Epiretinal Membrane and Panuveitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Management

Follow-up

Key Points

Chapter 79. Globe Perforation After Sub-Tenon's Injection

Abstract

History of Present Illness (HPI)

Past Ocular History (POH)

Further Questions to Ask

Assessment

Management

Follow-up

Assessment

Management

Follow-up #2

Management

Follow-up #3

Key Points

Chapter 80. Sterile Endophthalmitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Management

Follow-up

Working Diagnosis

Management

Further Follow-up

Key Points

Chapter 81. Contralateral Retinitis in a Patient on Systemic Immunomodulatory Therapy

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Management Algorithm

Key Points

Chapter 82. Rhegmatogenous Retinal Detachment in Intermediate Uveitis

Abstract

History of Present Illness

Questions to Ask

Assessment

Differential Diagnosis

Working Diagnosis

Testing

Management

Follow-up

Key Points

Index

 

 

An aparitie	10/05/2021
Autor	Harpal Sandhu, Henry J. Kaplan
Dimensiuni	15.24 x 22.86 cm
Editura	Elsevier
Format	Paperback
ISBN	9780323695411
Limba	Engleza
Nr pag	400