
Atul’s Ophthalmology Pearls & OMO ( One Minute Ophthalmology)
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# VISUAL II 👉🏼WHAT IS IT ? efficacy and safety in preventing flare-up in pharmacologically controlled noninfectious uveitis (10–35 mg prednisone and/or 1 IMT) 👉🏼 CONCLUSION The ADA group was less likely than the placebo group to have treatment failure the incidence of adverse and serious adverse events was similar between treatment groups.

# VISUAL III 👉🏼WHAT IS IT ? Long-term efficacy and safety of ADA in active or controlled noninfectious uveitis 👉🏼CONCLUSION * 60% of patients with active uveitis achieved quiescence at week 78, 66% of whom were corticosteroid free. * 74% of patients with inactive uveitis achieved quiescence at week 78, 93% of whom were corticosteroid free. * adverse events and serious adverse events were comparable to those in previous studies

# Paradoxical acute angle closure following use of pilocarpine ? 👉🏼 - spherophakia - zonular weakness from exfoliation syndrome - phacomorphic glaucoma,

# Visual I Study 👉🏼WHAT IS IT ? Adalimumab for noninfectious intermediate, posterior, or panuveitis 👉🏼 CONCLUSION * the ADA group was less likely than the placebo group to have treatment failure adverse events * serious adverse events were more common in the ADA group

# HURON study Chronic Uveitis evaluation of the Intravitreal Dexamethasone Implant * Study Questions : efficacy and safety of the injectable dexamethasone intravitreal implant at 2 doses (0.35 mg and 0.70 mg) compared to placebo (sham) * primary endpoint: vitreous haze grade 0 * Ozurdex group more likely than the sham group to have vitreous haze grade of 0 at 8 weeks * <5% of eyes developed IOp ≥35 mm hg and <10% had IOp ≥25 mm hg. * Cataracts developed in 15%

# Unilateral uveitis, open angle , raised IOP ? 💡Think of viral Toxoplasmosis

# What is NERVE HEAD SIGN of sickling ? 👉🏼 small vessels on the surface of the optic nerve head can exhibit intravascular occlusions, manifested as dark red spots

#What is COMMA sign in sickle cell disease? 👉🏼 Numerous comma-shaped thrombi dilate and occlude capillaries, most often in the inferior bulbar conjunctiva and fornix .

# Which drug can cause scleritis? 👆🏽Biphosponates

# SYCAMORE Study 👉🏼WHAT IS Adalimumab plus Methotrexate for JIA Uveitis 👉🏼CONCLUSION * ADA group was less likely than the placebo group to have treatment failure * a significantly greater proportion of patients in the adalimumab group than in the placebo group could eliminate or reduce topical corticosteroids. * the rate & number of adverse events per patient- year was higher in the ADA group than in the placebo group