Uveitis

1.11.C: In severe adenoviral conjunctivitis, the patient may have lid ecchymoses in addition to subconjunctival hemorrhages.

1.12. D: Giant papillary conjunctivitis is characterized by papillae of the superior tarsus, which are thought to be caused by an allergic reaction to the coating on foreign bodies such as contact lenses or exposed sutures.

1.14. Acute bacterial conjunctivitis with mild lid swelling, conjunctival injection, and discharge along the lid margin.

1.39. B: Zoster uveitis may be severe and associated with hyphemas. This patient also has a neurotrophic epithelial defect.

1.62. Nodular scleritis is associated with painful, localized swelling and elevation of the episclera and sclera.

1.64. Scleromalacia perforans is a noninflammatory form of necrotizing scleritis characterized by scleral thinning, usually occurring in patients with advanced rheumatoid arthritis.

1.11. A: Viral conjunctivitis is associated with an acute follicular reaction. In follicles, vessels course on the surface from the periphery of the lesions toward the center rather than emerging in the center, as is the case in papillae.

Figure 8.4.B: Inactive iridocyclitis. The eye is white and noninflamed, but telltale synechiae formation and pigment are seen on the lens capsule, producing a scalloped or irregular pupil that is characteristic of a prior acute uveitis process.

Figure 8.38. Sympathetic ophthalmia. This young person suffered trauma 3 weeks before evaluation. Examination of the traumatized eye revealed an occult scleral rupture superotemporally, low-grade inflammation, and irregular healing. The visit was prompted by acute uveitis in the sympathizing eye.

FIG. 2.6. A: Conjunctivitis. B: Chemosis. C: Facial swelling caused by an allergic reaction.

FIG. 15.10. Allergic conjunctivitis with lid edema and conjunctival infection.

FIG. 15.11. Allergic conjunctivitis with chemosis. Note the swollen conjunctiva extending up to the border of the cornea.

Left eye of patient with complete vitiligo and active uveitis. There was a strong family history of retinitis pigmentosa (brother, two nieces).

Progression of uveitis in left eye two years later in patient in Figure 148.3.

1.15. A: Hyperacute gonococcal conjunctivitis, with copious mucopurulent discharge and lid swelling.