Ophthalmology · Uveitis (Anterior, Posterior, Panuveitis)

Behcet's disease-associated uveitis is classified as which type, and which feature on slit-lamp examination is considered pathognomonic of its acute attacks?

  • A Posterior uveitis; Dalen-Fuchs nodules
  • B Panuveitis; non-granulomatous hypopyon that shifts with head position
  • C Anterior uveitis; mutton-fat keratic precipitates
  • D Intermediate uveitis; snowbanking at the pars plana
Correct answer: B. Panuveitis; non-granulomatous hypopyon that shifts with head position

Explanation

Behcet's disease causes a severe, recurrent, non-granulomatous panuveitis. Its hallmark acute feature is a hypopyon uveitis where the hypopyon is mobile — it shifts with changes in head position because it is composed of fibrin-poor, predominantly cellular exudate. Dalen-Fuchs nodules are seen in sympathetic ophthalmia and VKH. Mutton-fat KPs indicate granulomatous uveitis (sarcoidosis, TB). Snowbanking characterizes intermediate uveitis/pars planitis.

Reference: Khurana Comprehensive Ophthalmology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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