Uveal Effusion Syndrome Clinical Features

Play an AI-generated podcast conversation about this lesson

Which of the following is a characteristic finding of Terson syndrome?

Chorioretinopathy associated with indirect trauma

Preretinal hemorrhage overlying the macula (correct)

Optic nerve pallor or edema

Retinal whitening with clear demarcation from normal retina

What is the underlying mechanism of Purtscher retinopathy?

Spontaneous vitreous hemorrhage leading to retinal ischemia

Optic nerve compression resulting in retinal whitening

Direct ocular trauma causing retinal hemorrhages

Intravascular shock wave transmitted to retinal vasculature (correct)

Which of the following is NOT a characteristic finding in Purtscher retinopathy?

Optic nerve pallor or edema

Polygonal areas of retinal whitening (Purtscher flecken)

Preretinal and intraretinal hemorrhages

Subretinal hemorrhage along the superior arcade (correct)

What is the recommended management for severe vision loss or bilateral hemorrhages in Terson syndrome?

Early vitrectomy to remove the hemorrhage Signup and view all the answers

Which of the following statements about the symptoms of Purtscher retinopathy is TRUE?

Painless diminished visual acuity is a common presenting symptom Signup and view all the answers

What is the recommended diagnostic approach for suspected Terson syndrome?

Prompt funduscopic exam and B-scan ultrasonography or CT head scan Signup and view all the answers

What is the recommended initial screening for a patient starting hydroxychloroquine (Plaquenil)?

Fundus examination within the first year of use Signup and view all the answers

Based on the given information, what is the calculated daily dosage of hydroxychloroquine for this 68 kg patient?

5.88 mg/kg Signup and view all the answers

Which ancillary test is most useful in detecting hydroxychloroquine retinopathy in this patient?

10-2 Humphrey visual field testing Signup and view all the answers

According to the information provided, what is the characteristic OCT finding in hydroxychloroquine retinopathy?

Foveal thinning and loss of the photoreceptor inner segment/outer segment (IS/OS) junction Signup and view all the answers

Which statement regarding the risk factors for hydroxychloroquine retinopathy in this patient is correct?

The duration of use and dosage are major risk factors. Signup and view all the answers

Which statement regarding hydroxychloroquine retinopathy in Asian patients is correct?

Initial damage is often seen in a peripheral extramacular distribution near the arcades. Signup and view all the answers

Which imaging modality is MOST valuable for highlighting the characteristic early features of the condition?

Fundus autofluorescence (FAF) imaging Signup and view all the answers

What is the primary cause of the pigmentary maculopathy described in the text?

Elmiron use Signup and view all the answers

Which of the following OCT findings is NOT described in the text?

Intraretinal cysts Signup and view all the answers

What is the recommended frequency of follow-up examinations with fundus imaging after the initial baseline examination?

Annually Signup and view all the answers

Which of the following findings is NOT described in the text for the right eye (OD)?

Retinal hemorrhages Signup and view all the answers

What is the defining characteristic of pathologic/degenerative myopia?

Axial length of the eye greater than or equal to 26.5mm Signup and view all the answers

Which of the following is NOT a clinical sign of pathologic/degenerative myopia?

Epiretinal membrane Signup and view all the answers

What is the underlying pathology of angioid streaks?

Breaks in the calcified Bruch's membrane Signup and view all the answers

Which of the following conditions is NOT associated with the development of angioid streaks?

Age-related macular degeneration Signup and view all the answers

What is the characteristic appearance of angioid streaks on clinical examination?

Reddish-brown or gray bands radiating from the optic disc Signup and view all the answers

What is the term used to describe the diffuse mottling of the retinal pigment epithelium seen in some cases of angioid streaks?

Peau d'orange Signup and view all the answers

What is the recommended treatment for symptomatic retinal breaks in pathologic/degenerative myopia?

Both A and B Signup and view all the answers

Which of the following statements about the treatment of choroidal neovascularization (CNV) in pathologic/degenerative myopia is correct?

Anti-VEGF therapy is recommended for all subtypes of CNV Signup and view all the answers

Which of the following laboratory tests would be most useful in the evaluation of suspected angioid streaks?

All of the above Signup and view all the answers

What is the most appropriate initial management for an asymptomatic patient with angioid streaks and no choroidal neovascularization?

Recommend regular monitoring for development of CNV Signup and view all the answers

What are the key features of Uveal Effusion Syndrome?

Lack of inflammation or severe pain, normal IOP Signup and view all the answers

Which clinical presentation is NOT associated with Uveal Effusion Syndrome?

Inflammation and vitritis Signup and view all the answers

What is the typical clinical appearance of Choroidal Folds?

Horizontal bands located at the posterior pole Signup and view all the answers

What can cause Choroidal Folds according to the text?

Choroidal tumors and hypotony Signup and view all the answers

How can Choroidal Rupture be characterized based on its shape?

Crescent shaped Signup and view all the answers

What is a common symptom associated with Choroidal Rupture?

Decreased vision if hemorrhage present Signup and view all the answers

What is the typical treatment approach for Choroidal Folds without space-occupying masses on a CT scan?

'Watchful waiting' or observation Signup and view all the answers

Which of the following is NOT listed as part of the etiology of Choroidal Folds?

'COMANAGE' approach to treatment Signup and view all the answers

What is a characteristic feature of Chorioretinal Abnormalities?

Focal shrinkage of choroid Signup and view all the answers