Unit 10: Systemic Disease

• Blepharitis
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  Blepharitis

  

  Blepharitis - Sticky debris at root of lashes

  Source: www.eyerounds.org

  • Sticky debris at root of lashes
  • May see secondary pinpoint fluorescein staining of cornea (punctate epithelial erosions)
  • May have conjunctival hyperaemia

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• Mollescum contagiosum
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  Mollescum Contagiosum

  

  Small nodule on eyelid or lid margin

  Source: www.eyerounds.org

  • Caused by poxvirus
  • Small nodule on eyelid or lid margin [arrow in image]
  • Mild mucoid discharge
  • Inferior fornix follicle
  • Also occurs in immunocompetent patients and should be considered in cases of recurrent conjunctivitis, or those that don't respond fully to treatment

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• Conjunctival Kaposi sarcoma
• Herpes zoster [see image]
• HIV retinopathy
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  HIV retinopathy

  

  Cotton wool spots - Retinal microhaemorrhages may also occur

  Source: Adapted from an image uploaded to retinagallery.com by S. Cohen.

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• Uveitis
• CMV retinitis
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  CMV retinitis

  

  Paravascular retinal opacification from retinitis, with associated haemorrhage

  Source: Adapted from an image uploaded to retinagallery.com by Don Gass

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• Toxoplasmosis of the retina
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  Toxoplasmosis of the Retina

  

  Active toxoplasma retinitis – the hyperpigmented area shows old disease, that has reactivated produce white appearing retinitis

  Source: S. Lightman, Moorfields Manual of Ophthalmology, Ed T Jackson

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Regular dilated fundus examination