Referat

Uveitis Posterior

Disusun oleh :
Jeanne dArc Dyanchana 1620221210
Syifa Aulia Luthfiyani 1620221189
 Uvea adalah organ yang terdiri dari beberapa kompartemen
mata yang berperan besar dalam vaskularisasi bola mata.
Terdiri atas iris, badan silier dan koroid.
Definisi
Uveitis posterior adalah proses peradangan pada segmen
posterior uvea, yaitu pada koroid, dan disebut juga
koroiditis.
Karena letaknya dekat dgn retina, hampir selalu
melibatkan retina.
Toxoplasmosis
Toxoplasmosis is caused by Toxoplasma gondii, an obligate
intracellular protozoan.

A single inflammatory focus of fluffy white retinitis or

retinochoroiditis associated with a pigmented scar (satellite lesion) is
typical (Fig. 11.36A). Lesions tend to involve the posterior pole.
De novo foci not associated with an old scar, and multiple lesions
(Fig. 11.36B) are relatively uncommon in the immunocompetent but
occur more frequently in the immunocompromised.
Vitritis may be severe and impair fundus visualization. Headlight in
the fog is the classic description of a white retinal inflammatory nidus
viewed through vitritis (Fig. 11.36C)
Toxocariasis
Chronic endophthalmitis (Fig. 11.41) typically presents with
leukocoria, strabismus, floaters or unilateral visual loss.
Posterior pole or peripheral granuloma without inflammation (Fig.
11.42) classically presents in an older child or adult with unilateral
impaired vision or as an incidental finding
Chorioretinal scar (Fig. 11.43).
Herpes Simplex
Patchy and occasionally sectoral iris atrophy that includes the
pigment epithelium (Fig. 11.55A) is common, as is elevated IOP.
The pupil may be larger.
Tuberculosis
Choroidal granuloma (tubercle)
BEHET DISEASE
often bilateral, is typical. It is not granulomatous. A transient mobile
hypopyon in a relatively white eye (Fig.11.32A) is characteristic
VOGTKOYANAGIHARADA (VKH) SYNDROME
Acute uveitic phase. Bilateral granulomatous anterior and multifocal
posterior uveitis with diffuse choroidal infiltration
Convalescent phase follows several weeks later: localized alopecia,
poliosis and vitiligo (Fig. 11.19); depigmented fundus appearance
(sunset glow fundus Fig. 11.20
CMV (Cytomegalovirus retinitis)
Infection with cytomegalovirus (CMV), a herpesvirus, is very
common in the general population.

Retinitis. The characteristic appearance is of one or two areas of

dense white retinal infiltration associated prominently with flame-
shaped retinal haemorrhages (pizza pie or Margherita pizza).

Optic neuritis (Fig. 11.51C) may result from direct spread or from
primary involvement.
Epidemiologi
Insiden sekitar 15 per 100.000 orang, sekitar 75 %
merupakan uveitis anterior. Sekitar 50% pasien dengan
uveitis menderita penyakit sistemik terkait. 3)