Papillomas under eye
The Uvealny vascular cover of an eye anatomic is presented by an iris of the eye irisa tsiliarny or papillomas under eye body corpus ciliare and horioidey chorioidea - actually vascular cover lying under a retina. From here the main forms of a uveit are Irittsiklit, iridotsiklithorioidit, horioretinitetc. Big prevalence of uveit is connected with extensive vascular network of an eye and the slowed-down blood-groove in uvealny ways.
This feature in a certain measure promotes a delay in a vascular cover of various microorganisms which under certain conditions can cause inflammatory processes. Other essentially important feature of a uvealny path consists in separate blood supply of its forward department presented by an iris and a pancreatic cancer final weeks body and back department — a horioidea.
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Structures of forward department are supplied with blood back long and forward ciliary arteries, and - back short ciliary arteries. At the expense of it defeat of forward and back departments of a uvealny path in most cases happens separately.
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The innervation of departments of a vascular cover of an papillomas under eye is also various: an iris and a ciliary body tsiliarny fibers of the first branch of a trigeminal nerve plentifully innervate; has no sensitive innervation. The called features influence emergence and development of uveit. Classification of uveit Are divided by the anatomic principle papillomas under eye a uveita on forward, median, back and generalized.
Forward uveita are presented by Irit, forward tsiklity, iridotsiklity; median intermediate — pars-planity, a back tsiklit, a peripheral uveit; back — horioidity, retinityhorioretinity, neyrouveity. In forward uveit the iris and a tsiliarny body is involved — this localization of a disease meets most often.
At median uveita the ciliary body anda vitreous body and a retina is surprised.
Back uveita proceed with involvement of a horioidea, a retina and optic nerve. When involving all departments of a vascular cover develops panuveit — cancerul pulmonar varsta generalized form of a uveit. The nature of inflammatory process at uveita can be serous, fibrinozno-lamellar, purulent, hemorrhagic, mixed.
Depending on an etiology of a uveita can be primary and secondary, exogenous or endogenous. Primary uveita papillomas under eye connected with the general diseases of an organism, secondary — directly with pathology of an organ of vision.
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Are classified by features of a clinical current of a uveita on sharp, chronic and chronic recidivous; taking into account a morphological picture — on granulematozny focal metastatic and negranulematozny diffusion toksiko-allergic. Reasons of uveit As causal and starting factors of uveit serve infections, allergic reactions, system and syndromic diseases, injuriesviolations of exchange and hormonal regulation.
As infectious agents at uveita tuberculosis mikobakteriya, streptococcitoxoplasma, a pale treponema, a cytomegalovirus, fungi most often act. Such uveita are usually connected with hit of an infection to the vascular course from any infectious center and develop at tuberculosissyphilisviral diseases, sinusitistonsillitiscaries of teethsepsis etc. In development of allergic uveit papillomas under eye increased specific sensitivity to environment factors — medicinal and food allergyhay fever and so forth plays a role.
Quite often at introduction of various serums and vaccines serumal develops uveit. Uveita etiologichesk can be connected with system and syndromic diseases: rheumatismrheumatoid arthritisspondiloartritypsoriasissarkoidozyglomerulonefrityautoimmune tireoiditmultiple sclerosisulcer colitissyndrome of Reuterssyndrome of Fogta-Koyanagi-Harada uveomeningoentsefalityetc.
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Uveita of papillomas under eye genesis arise after burns of eyesowing to the getting or kontuzionny injuries of an eyeball, hit in eyes of foreign matters.
Development of a uveit can be promoted by violations of exchange and hormonal dysfunction at diabetesa climax etc.
Symptoms of papillomas under eye uveit Manifestations of uveit can differ depending on localization of an inflammation, pathogenicity of microflora and the general reactivity of an organism. In a sharp form forward uveit proceeds with pain, reddening and irritation of eyeballs, dacryagogue, a photophobia, narrowing of a papillomas under eye, deterioration in sight. The Perikornealny injection gets a violet shade, intraocular pressure often increases. At chronic forward twine a current quite often asymptomatic or with poorly expressed signs — insignificant reddening of eyes, "floating" points before eyes.
As indicator of activity of forward uveit serve corneal pretsipitata papillomas under eye congestion of cages on a cornea endoteliya and the cellular reaction in moisture of the forward camera revealed in the course of biomicroscopy.
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Back sinekhiya unions between an iris of the papillomas under eye and the capsule of a crystalline lensglaucomaa cataracta keratopatiyamakulyarny hypostasis, inflammatory membranes of an eyeball can be complications of forward uveit. At peripheral uveita damage of both eyes, floating turbidity before eyes, decrease in the central sight is noted.
Back uveita are shown by feeling of a zatumanivaniye of sight, distortion of objects and "floating" points before eyes, decrease in papillomas under eye acuity.
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At back uveita there can be makulyarny hypostasis, makula ischemia, occlusion of vessels of a retinaan otsloyka of a retina, optical neuropathy. Serves as the most severe form papillomas under eye a disease widespread iridotsiklokhorioidit. As a rule, this form of a uveit arises against the background of sepsis and often is followed by development of an endoftalmit or panoftalmit.
At twine, Fogta-Koyanagi-Harada associated about a syndrome, headachesneurotouch relative papillomas under eyepsychoses, vitiligoan alopetion are observed. At a sarkoidoza, except eye manifestations increase in lymph nodes, plaintive and salivary glands, short wind, cough is, as a rule, noted. The knotty eritemavaskulitaskin rash, arthritises can indicate communication of a uveit with system diseases.
Diagnostics of a uveit Ophthalmologic inspection at uveita includes carrying out external examination of eyes a condition of skin a century, conjunctivasvizometriyaperimetrya research of pupillary reaction. As uveita can proceed with hypo - or hypertensia, measurement of intraocular pressure is necessary tonometriya.
By means of biomicroscopy sites of tape-like dystrophy, a pretsipitata, cellular reaction, back sinekhiya, a back kapsulyarny cataract etc.
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In papillomas under eye course of an oftalmoskopiya existence of focal changes of an eye bottom, hypostasis of a retina and DZN, otsloyka of a retina is established.
At impossibility of carrying out an oftalmoskopiya in case of turbidity of optical environmentsand also for assessment of the area of an otsloyka of a retina ultrasonography of an eye is used.
For differential diagnostics of back uveit, definition of a papillomas under eye of a horioidea and a retina, hypostasis of a retina and DZN carrying out an angiography of vessels of a retinaan optical coherent tomography of a papillomas under eye and DZN, the laser scanning retina tomography is shown. At uveita of various localization the reooftalmografiyaan elektroretinografiya papillomas under eye supply with the important diagnostic information.
The specifying tool diagnostics includes the forward camera, a vitrealny and horioretinalny biopsy.
In addition at uveita of various etiology consultation of the phthisiatrician with carrying out a X-ray analysis of lungs and reaction can be required by Mant ; consultation of the neurologist, brain KT or MPTlyumbalny puncture ; consultation of the rheumatologistX-ray analysis of a backbone and joints; consultation of the allergist-immunologist with conducting tests, etc.
The RPR test, definition of antibodies to a mycoplasma, an ureaplasmahlamidiyatoxoplasma, a cytomegalovirus, herpes etc. Treatment of a uveit Treatment of a uveit is performed by the ophthalmologist with the assistance of other experts. At uveita early differential diagnostics, timely performing etiotropny and pathogenetic treatment, a corrective and replaceable immunotherapy is necessary.
Therapy of uveit is directed papillomas under eye the prevention of complications which can lead to sight loss. At the same time treatment of the disease which papillomas under eye development of a uveit is required. The basis of treatment of uveit is made by purpose of midriatik, steroids, system immunosupressivny medicines; at uveita of an infectious etiology - antimicrobic and antiviral means, at system diseases — NPVS, tsitostatik, at allergic defeats — antihistaminic medicines.
Instillations of midriatik a tropikamid, a tsiklopentolat, a fenilefrin, atropine allow to eliminate a spasm of a tsiliarny muscle, to prevent formation of back sinekhiya or to break off already created unions. The main link in treatment of uveit is application of steroids locally in the form of instillations in a conjunctival bag, a mortgaging of ointmentssubconjunctivalparabulbarnysubtenonovy and intravitrealny injectionsand also papillomas under eye system.
At uveita use Prednisolonum, beta metazones, dexamethasone.
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In the absence of medical effect of steroid therapy purpose of immunosupressivny medicines is shown. At the raised VGD the corresponding eye drops are used, the girudoterapiya is carried out. In process of subsiding of sharpness of a uveit papillomas under eye electrophoresis or with enzymes is appointed. In case of a failure of a uveit papillomas under eye development of complications the section of forward and back sinekhiya of an iris, surgical treatment of pomutneniye of a vitreous body, glaucoma, cataract, an otsloyka of a retina can be required.
At an iridotsiklokhorioidita quite often resort to carrying out a vitreoektomiyaand at impossibility to save an eye - eyeball evistseration. Forecast paraziti in pestele salau prevention of a uveit Complex and timely treatment of sharp forward uveit, as a rule, leads to recovery in weeks.
Chronic uveita are inclined to a recurrence in connection with an exacerbation of the leading disease. The complicated current of a uveit can lead to formation of back sinekhiya, development of closed-angle glaucoma, cataract, dystrophy and heart attack of a papillomas under eye, hypostasis of DZN, otsloyka of a retina. Owing to the central horioretinit or atrophic changes of a retina visual acuity considerably decreases. Prevention of a uveit demands timely treatment of diseases of eyes and the general diseases, an exception of intraoperative and home accidents of an eye, an organism allergization etc.
Uveit - treatment.