2014-2015 Basic and Clinical Science Course (BCSC): Section by American Academy of Ophthalmology, Ramana S. Moorthy MD

By American Academy of Ophthalmology, Ramana S. Moorthy MD

Starts with an summary of immune-mediated eye illness, summarizing simple immunologic strategies, ocular immune responses and designated issues in ocular immunology. Discusses the medical method of uveitis and stories noninfectious (autoimmune) and infectious types of uveitis, with an increased part on viral uveitis and new fabric on infectious and noninfectious scleritis.

Enhanced detection of infectious brokers by means of immunologic and genetic equipment and biologic therapeutics are special. additionally covers endophthalmitis, masquerade syndromes, issues of uveitis and ocular points of AIDS.

Upon of entirety of part nine, readers may be capable to:

Identify basic and particular pathophysiologic tactics that have an effect on the constitution and serve as of the uvea, lens, intraocular cavities, retina, and different tissues in acute and persistent intraocular inflammation
Differentiate and establish infectious and noninfectious uveitic entities
Choose applicable exam innovations and proper ancillary stories in response to no matter if an infectious or noninfectious reason is suspected

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Additional resources for 2014-2015 Basic and Clinical Science Course (BCSC): Section 9: Intraocular Inflammation and Uvetis

Example text

Tumor necrosis factor p (TNF-Pl. and IL-12. Th2 lymphocytes function to help B lymphocytes secrete lgE and lgA; inhibit Th1 lymphocytes; and synthesize cytokines such as IL-4, IL-5, and IL-10. CD8 T lymphocytes become activated into regulatory T lymphocytes that function by inhibiting other CD4 T lymphocytes, often by secreting cytokines such as transforming growth factor p (TGF-P). ) Figure 2-4 IL-4, IL-5, and IL-10 but not Thl cytokines. In recent years, 2 additional T-cell subsets have been recognized.

LPS lipopol y saccharide . The anaphylatoxins, so named because they cause anaphylaxis upon systemic administration into animals, are the principal complement-derived mediators. The effects of these anaphylatoxins include chemotaxis and changes in cell adhesiveness, mediated principally by C5a, and degranulation and release of mediators from mast cells and platelets. The proinflammatory complement mediator C5a also stimulates oxidative metabolism and the production and release of toxic oxygen radicals from leukocytes, as well as the extracellular discharge of leukocyte granule contents.

_ r@ Plasma cell Figure 2-5 Schematic representation of effector mechanisms during adaptive immunity. Not only is the immune response initiated within the tissue site, but ultimately the immune response arc is completed when effectors encounter antigen within the tissue after release into the circulation from the lymph node. The 3 most important effector mechanisms of adaptive immunity include cytotoxic T lymphocytes (CTLs), delayed hypersensitivity (DH) T lymphocytes, and antibody-producing B lymphocytes, especially plasma cells .

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