SCLERA Dr.Sucharitha.

Slides:

Advertisements

Similar presentations

Acute Conjuctivitis Lawrence Pike.

Advertisements

Eyes in General Practice

The Red Eye Differential Diagnosis

Dr. Mervat El-Shabrawy Associate Prof. of Ophthalmology, FOM, SCU

Clinicopathologic Case

Acute unilateral red eye

Allergic conjunctivitis

Evaluating “Red” and “White” Eye. CONTINUITY CLINIC Objectives Identify important questions and physical exam findings when evaluating red or white eyes.

May 2014 Uveitis and HLA B27 Carol Slight Nurse Practitioner Ophthalmology.

Scleral Disease China Medical University NO.4 Affiliated hospital Ophthalmology; Ophthalmology hospital of China Medical University.

ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute of Ophthalmology ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute.

Uveal Tract Diseases.

Prepared by : Khansa’ Mohd Rashid Norhana Rahmat

Diploma In Family Health Care

CORNEAL SURGERY 1. Penetrating keratoplasty 2. Keratoprosthesis 3. Refractive surgery Radial keratotomy Photorefractive keratectomy (PRK) Laser in-situ.

Grand Rounds Scleromalacia Amir R. Hajrasouliha, M.D. University of Louisville Department of Ophthalmology and Visual Sciences Friday, January 17, 2014.

CHAPTER 2 CORNEAL TRANSPLANTATION

Management of Pterygium

ALLERGIC CONJUNCTIVITIS

Abdulrahman Al-Muammar College of Medicine King Saud University

Immunoglobulin A Nephropathy as a Systemic Underlying Cause of Bilateral Anterior Scleritis Aruoriwo Oboh-Weilke, MD Florian A. Weilke, MD InnovisHealthFargo,ND.

Episclera and sclera Dr. Mohammad Shehadeh. Anatomy The three vascular layers that cover the anterior sclera are: 1. The conjunctival vessels are the.

The Unquiet Eye in General Practice. Session Aims Anatomy: Understand the anatomy and terminology History:What is a reasonable targeted eye history? Examination:What.

THE RED EYE. CAUSES OF A RED EYE n Subconjunctival haemorrhage.

Painless Necrotizing Scleritis with Inflammation in Wegener’s Granulomatosis Divya Mutyala, M.D. Robert S. Feder, M.D. Feinberg School of Medicine Northwestern.

Allergic eye disease Pammal Ashwin Sunil Shah 2008, Birmingham UK A seminar for a group of eye professionals Pictures from the www.

IBD Picture Quiz Dr R Gooch. This Session: Pen and paper 10 pictures Write down your diagnosis Discussions.

RED EYE. 2 The Red Eye Differential Diagnosis 3 Differential Diagnosis of “red eye” ConjunctivaPupilCornea Anterior Chamber Intra Ocular Pressure Subconjucntival.

The Red Eye Marc A. Booth, M.D. 10 April Objectives  Obtain a pertinent history for patients presenting with a red eye  Formulate a differential.

Anatomy of the eye & Common eye Diseases. Bony orbit Eyelids Eyeball and optic nerve Vessels and nerves.

Panophthalmitis MBBS KGMU. What is panophthalmitis Acute suppurative inflammation & necrosis of the structures of the eyeball, including all the outer.

Table 2.1.1: Number of Cornea Transplantation and Transplant Rate per million population (pmp), Year No.

Community Optometry Working Together with General Practice!

The red eye. –Aim to distinguish acute emergency from less urgent Vision affected? Pain?Unilateral/bilateral? Distinguish conjunctival injection from.

Sclera/Episclera, Uvea/Iris, Vitreous, & Glaucoma.

Table 2.1.1: New Transplant Rate per million population (pmp), Year New transplants

CASE IV CORNEAL HYDROPS.

Lecture on eye ball For B.D.S. students only By Prof. Ansari

Eye Disease ~ Scleritis By Michael Dawes. Description Scleritis is a serious inflammatory disease that affects the white Outer bit of the eye, known as.

OFTALMOS® -SC-BRAZIL Triple Procedure for Bilateral Perforated Mooren's Ulcer G. S. Lima; P. Ferreira; A.

Late Diffuse Lamellar Keratitis in Post-LASIK Infective Keratitis

Juan S. Lopez, MD UP-PGH, UST, St. Luke’s, EAMC

Behçet’s Disease: A Case of Peripheral Ulcerative Keratitis Leading to Corneal Perforation Selcuk Sizmaz, Aysel Pelit, Meltem Yagmur, Didem Arslan, Yonca.

Pathology Case Presentation

Department of Ophthalmology Medical University of Warsaw, Poland Expanded Polytetrafluoroethylene Patches to Treat Ocular Surface Disorders Dorota Kopacz.

Outcome of cataract surgery in Scleritis patients Bhupesh Bagga Cornea & Anterior Segment Department L.V.Prasad Eye Institute, Hyderabad,India Financial.

Siderosis Bulbi Zamzam Al-baker,MD Consultant Opthalmology

Tectonic Patch Grafts: Corneal Surgeon’s Friend in Need Ayan Mohanta MS Arup Bhaumik MS Cataract, Cornea and Refractive services Disha Eye Hospitals Barrackpore,

OCULAR INFLAMMATION Pavel Stodůlka 1.

Diagnosis – Malignant melanoma of anterior ciliary body and iris root, spindle cell type with invasion of Schlemm’s canal and collector channels –

RED EYE SYNDROM.

Case Report Staphyloma & Secondary Glaucoma

Posterior segment complications of strabismus surgery; Dr.J.Omidian Kermanshah university of medical science.

Table 2.1.1: Number of Corneal Transplantation and Transplant Rate per million population (pmp), Year

전안부 conference Scleritis R3 정현진/ Ap. 나경선.

Grand Rounds Conference

EPISCLERITIS AND SCLERITIS

PERIPHERAL CORNEAL INFLAMMATION

Dr. Sandeep Arora FRCS Dr Ashish Nagpal FRCS

Common Clinical Presentations and Clinical Evaluation in Orbital Diseases Dr. Ayesha Abdullah

Eye Anatomy & Physiology Conjunctiva & Sclera By : Dr Mohamed Salah Tuesday, 03 July 2018.

Posterior segment complications of strabismus surgery;

Presentation transcript:

SCLERA Dr.Sucharitha

ANATOMY Opaque, 5/6th of outer coat, 2/3 LAYERS EPISLERA - SCLERA PROPER LAMINA FUSCA 1mm/0.5mm: lamina cribrosa

Inflammations(non-infective) Infections Staphylomas Tumors Congenital – Blue sclera

Inflammation(non-infective) EPISCLERITIS SCLERITIS

EPISCLERITIS DEFI : Benign / Selflimiting / Recurrent ETIOPATHO : Allergic reaction to endogenous toxin Asso. Collagenous diseases Lymphocytic infiltration C/F : History : Reccurence / Age / Female Symptoms : Red eye / mild pain /discomfort

SIGNS : 2 types Simple : Diffuse / Sectoral Nodular : localised/raised/congested/hard/tender/site Episcleritis Periodica Fugax ; fleeting/frequent

DD (Differential Diagnosis) Phlycten Scleritis Conjunctivitis Pingiculitis

Management Depending on severity Topical Lubricants NSAIDs Mild steroids Systemic Oral NSAIDs R x of rhematism

SCLERITIS DEFI : Infiltration all layers ETIO : Connective tissue disease(50%) Surgically induced Infections

CLASSIFICATION Anterior Scleritis(98%) : Posterrior Scleritis (2%) Non Necrotising (85): Nodular / Diffuse Necrotising (13%) : with inflammation without inflammation(Scleromalacia perforans) Posterrior Scleritis (2%)

Clinical presentation Bilateral / females / painful Nodular : less circumscribed/dark red Annular scleritis Necrotising : with inflamm. – red painful eye without inflamm.- painless/melting/seroRA

COMPLICATIONS Anterior uveitis Sclerosing Keratitis : opacity/tongue/vasculari Secondary glaucoma Cataract Corneal perforation

Posterior scleritis Posterior sclera Variable presentation(dv/proptosis restricted movements/vitritis/odema disc/choroidal folds,exudative RD) B – scan / CT

INVESTIGATIONS Full BC RA ANA ANCA VDRL/FTA-ABS Mantoux LE/ANF

MANAGEMENT ANTERIOR : NSAIDs / Steroids Topi/sys ; Immunosupressives In necrotising-Lubricants / Scleral patch graft POSTERIOR : Same/intravenous methy pred

STAPHYLOMAS Ectasia outer coats / incarceration of uveal

CLASSIFICATION Anterior : partial/total ; cornea Intercalary : at limbus ; (surg/peri ulcer/scleroperforans/sec.glaucoma) Ciliary : cilary zone ;(sec.glaucoma/scleritis/trauma) Equatorial : 14mm behind limbus (scleritis/glaucoma/degenerative myopia) Posterior: (degenerative myopia)

Management R x of cause Mild anterior : staphylectomy&keratoplasty Scleral thinning : Scleral patch graft Blind eye : cosmetic surg

Thank you