Uveitis
Uveitis
Također poznato kao: Anterior uveitis, Posterior uveitis, Pan-uveitis
Ukratko
Uveitis is a common and painful inflammatory condition affecting the inner structures of a dog or cat's eye. Left untreated, it can lead to permanent blindness or glaucoma, but early veterinary intervention with targeted anti-inflammatory therapies can protect your pet's vision.
TL;DR. Bolna upala vaskularnog sloja oka; brza veterinarska skrb sprječava trajno sljepilo.
Sužena zjenica i mutna očna vodica česte su.
Što je to?
Uvea se upali; krvno-vodena barijera popušta.
"The aqueous is essentially modified blood with protein and cells removed in the ciliary body. Under conditions of anterior uveitis, these elements gain entry into the aqueous humor, producing the signs of aqueous flare (protein), keratic precipitates (fibrin and white blood cell aggregates on the posterior cornea), hyphema (red blood cells), and hypopyon (white blood cells)..."
Anteriorni (češći), posteriorni ili panuveitis.
Uzroci i čimbenici rizika
Imunoposredovani, infekcijski, trauma, ulcer, katarakta, neoplazija, idiopatski.
Znakovi na koje treba paziti
- Mioza (kardinalno)
- Flare (kardinalno)
- Blefarospazam i suzenje (često)
- Edem rožnice, crvenilo (često)
- Hifema ili hipopion (često)
- Bol oka (često)
Crvenilo i mutna rožnica česti su znakovi u psa.
Kako veterinari dijagnosticiraju
"Therefore miosis is the result of stimulation of the iris sphincter, loss of sympathetic tone of the iris dilator, or both."
Oftalmološki pregled, tonometrija (VOT često nizak), UZV pri zamućenju, sistemski pregled.
UZV procjenjuje stražnji segment pri zamućenju.
Opcije liječenja
Topikalni kortikoidi bez ulkusa (prednizolon, deksametazon). Topikalni NSAID. Atropin. Sistemski pri posteriornom/teškom obliku.
Prognoza
Oprezno do dobro; kašnjenje povećava sinehije, sekundarni glaukom, sljepilo.
Prevencija
Cjepiva, zaštita od krpelja, rana procjena crvenog oka.
Kada zvati veterinara
Hitno: naglo sljepilo, hifema/hipopion, jaka bol.
Izvori
- Small Animal Critical Care Medicine, 2nd Edition, pages 893-894.
- Plumb's Veterinary Drug Handbook, page 3745.
My highlights & notes
Znakovi i simptomi
Pasmine s višim rizikom
Kako se dijagnosticira
- Aqueous humor aspiration and cytology
- Ophthalmic examination
- Serological testing
- Systemic staging and evaluation
- Ultrabiomicroscopy (UBM)
- Ultrasonography
Pristupi liječenju
Liječenje mora propisati licencirani veterinar. Specifične doze namjerno nisu prikazane.
Česta pitanja
What is Uveitis?
Uveitis is a common and painful inflammatory condition affecting the inner structures of a dog or cat's eye. Left untreated, it can lead to permanent blindness or glaucoma, but early veterinary intervention with targeted anti-inflammatory therapies can protect your pet's vision.
What are the symptoms of Uveitis?
aqueous flare、miosis、360-degree corneal vascularization、Epiphora、Squinting (blepharospasm)、corneal edema、episcleral injection、hyphema
How is Uveitis diagnosed?
Aqueous humor aspiration and cytology、Ophthalmic examination、Serological testing、Systemic staging and evaluation、Ultrabiomicroscopy (UBM)、Ultrasonography
How is Uveitis treated?
Liječenje mora propisati licencirani veterinar. Specifične doze namjerno nisu prikazane.
Izvori
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 894
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 893
- Plumb · p. 3745
- Plumb · p. 3745
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 894
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