CME-2022-2023

CME 2022 - 2023

SUMMARY OF UVEITIS CME - Uveitis Simplified A USI-MOS-POS initiative 2023

DATE: April 9th, 2023 - Sunday
Venue: 5th Floor, Dr. R S Wadia Auditorium, Cancer Building, Ruby Hall Clinic, Sasoon Road, Pune
Summary editor: Dr. Pranav Radkar, MC member, POS
Session 1
Panelist (Dr. Santosh Bhide, Dr. Anagha Heroor,Dr. Mayur Morekar, Dr. Udayan Dixit)

  1. SUN criteria & step by step evaluation of Anterior Uveitis – Dr Rohit Modi
  • Classification and diagnosis of anterior uveitis is crucial for treatment.
  • SUN classification is used to classify uveitis into anterior, intermediate, posterior and panuveitis.
  • Acute, Recurrent and chronic depends on course and limited & persistent depends on the duration of anterior uveitis.
  • Cells, flare vitreous haze are graded by examination.
  • A step by step approach is needed for uveitis.
  1. Learning Case – Acute Anterior Uveitis – Dr Mayur Morekar
  •  Important point to note is that not every anterior uveitis needs evaluation.
  •  Pattern recognition is key in the diagnosis of the cause of uveitis.
  1. Diagnostics in uveitis – what to order, when to order? – Dr Aartee Palsule
  • Different uveitic entities require different treatment.
  • Systemic associations need consideration.
  • Pattern recognition and mesh naming are methods to make a diagnosis.
  • Making a diagnosis is crucial before ordering tests
  1. What exactly is “intermediate uveitis” – learn with an example – Dr Devendra Venkatramani
  • Uveitis involving vitreous and peripheral retina.
  • Infective and Non-infectious causes need to be considered.
  • Spills over anterior uveitis have KPs, flare and few cells.
  • Post. Synechiae are common in Intermediate uveitis with systemic associations.
  • Tuberculosis and Syphilis are important causes to be considered in India.

SESSION 2 – Panelist (Dr Nitin Prabhudesai, Dr Rohit Modi, Dr Mandar Paranjpe, Dr Samyak Mulkutkar)

  1. Choroidal granulomas – a differential diagnosis- Dr Nitin Prabhudesai
  • Involves infectious or non-infectious causes.
  • Infective- Tuberculosis and syphilis.
  • Non-Infective – sarcoidosis, VKH.
  • Laboratory investigations , Radiology need sound history.
  • Treatment depends on etiology.
  1. Retinal vasculitis – The Basics – Dr Rohit Modi
  • Systemic vasculitis mainly involves arterioles whereas retinal vasculitis involves veins.
  • Can be infectious as well non infective. Clinically can be distinguished into arteriolar and venous predominant.
  • Arteriolar predominant can have perivascular sheathing or at times no sheathing.
  • Venous predominants have retinitis, chorio-retinitis and vitritis.
  1.  Tuberculous Uveitis – Dr Nikhil Beke And Non-Tuberculosis Uveitis- Dr Samyak Mulkutkar
  • Difference between retinitis and choroiditis is the key as retinitis is mostly infective and choroiditis is  infective.
  • Systemic steroids and AKT remains the mainstay of treatment.
  • A high degree of suspicion is required for Non Tuberculosis Uveitis.
  • Clinical Patterns often point towards diagnosis.

SESSION 3 – PANELIST (Dr Soumyava Basu, Dr Anand Subramaniyum, Dr Mukesh Pariyani, Dr Aditi Patwardhan )

  1.  Keynote presentation : What to test – how much to believe – Dr Soumyava Basu
  • Clinical pattern is mostly enough to diagnose uveitis etiologies and types.
  • Investigations are done either to rule in/out infections , systemic diseases or to know immune status ,fitness for therapy and to monitor treatment.
  • Positive predictive value of a test has to be considered before ordering for any test.
  • Pre-test probability has been considered and includes history, clinical signs and prevalence for any disease.
  • A positive RA factor and a positive ANA has little diagnostic value
  • Today’s era work-up /screening has limited value and should be avoided.

9. Basics of episcleritis & scleritis – examples – Dr Samyak Mulkutkar

  • Anatomical positions of vessels are helpful in understanding the differences in episcleritis and scleritis.
  • Blanching and mobility are the key clinical signs used to differentiate both.
  • Systemic associations are present in scleritis.
  • Steroids and NSAIDS are the mainstay of treatment.

10. Cataract surgery in uveitis  – pearls of wisdom – Dr Hitesh Sharma

  • Control of inflammation before surgery and timing of surgery is crucial in outcomes.
  • Counseling about recurrences is important.
  • Small pupil, synechiae , shallow AC, friable iris vessels , IOP and weak zonules are possible challenges in surgery.
  • Post Op inflammation control and frequent follow ups are advisable.
  • CME has to be looked for during this time.

11. Learning Case – Panuveitis in Behcet’s Disease – Dr Anand Subramaniyam

  • Rare presentation in Behcet’s disease.
  • Systemic symptoms and signs are key in diagnosis.
  • Oral steroids and immunosuppressant therapy  are used for treatment.

12. Basics of Immunomodulation for uveitis – Dr Mayur Morekar

  • Immunotherapy has extended the treatment  spectrum in uveitis.
  • They provide durable corticosteroid free remission.
  • A Step-Ladder approach is the way to go involving steroids (Short term) and NSAIDS, Immunomodulator drugs, peripheral retinal cryopexy, lasers biologics , cytotoxic drugs and vitrectomy.
  • Typically it takes weeks for the onset of  action.
  • Our aim in uveitis should be tailored investigations to tailored care.

 13. Free paper Presentation

  • Presenters – Dr Sayali Shah, Dr Varun Doshi / Dr Tarun , Dr Shreya , Dr Shivani K, Dr Nikhil T, Dr Abhinav  G, Dr Apurva P, Dr M Silva and Dr Ajinnkya R.

 14. Grand Quiz- Dr Mukesh Paryani

IGNITE 2023

15th January 2023
Venue: Hotel Radisson Blu, Kochi

Amrita Institute Of Medical Sciences conducted IGNITE 2023 , our Annual CME on Uveitis and Ocular inflammation, under the aegis of Uveitis Society of India, Kerala Society of Ophthalmic Surgeons and Cochin Ophthalmic Club on January 15th at hotel Radisson Blu, Kochi. The CME was conducted from 9am to 5pm and had 6 sessions in all, including a virtual session by Dr. Vishali Gupta, from PGIMER Chandigarh. We started with basic sessions and had case presentations followed by a very stimulating discussion. Ask the Rheumatologist session was done by Dr. Suma Balan, Dr. Joe Thomas and Dr. Mithun C.B from Kochi and it was a very illuminating session for all the attendees. The National faculty who attended were Dr. Kalpana Babu Dr. Soumyava Basu, Dr. Mudit Tyagi, Dr. Sharanya Abraham and Dr.Vedhanayaki Rajesh and the state faculty who attended were Dr. Divya M Nair, Dr.Dahlia Krishnan , Dr. Reesha K R, Dr. Kiran K R, Dr. Amita Nair and Dr. Divya Balakrishnan. It was attended by 130 delegates across the state and was well appreciated by all. For the first time, we also had the competitive PG case presentation session, in which Dr. Binuja from Kottayam medical college was declared the winner.

Update of CME “Uveitis Pe Charcha”

26.02.2023

Kindly accept our gratitude for all the support provided by Uveitis Society (India) for conducting the CME “Uveitis Pe Charcha” held on 26.02.2023 conducted by Kasturba Medical College, Manipal under Ageis of Uveitis Society (India). Eminent speakers from across India gave talk on various aspects of uveitis. The CME was well attended by Ophthalmologists and postgraduate students from various colleges of Karnataka. The list of topics discussed by various eminent speakers are given below.

Sl.No.  Name of the Speaker  Topic covered 
1.  Dr. Sudharshan S 
  1. Pattern recognition in posterior uveitis 
  2. What to look for in eyes of HIV patients  
  3. Retinal Vasculitis  
2.  Dr. Minija C K 
  1. Shapes and patterns not to be missed in anterior Uveitis 
  2. Beware of Masqueerades 
3.  Dr. Prashant Bavankule  
  1. Tips and tricks of managing uveitic cataract 
4.  Dr. Aravind G 
  1. Systemic evaluation in non infectious uveitis 
5.  Dr. Yogish S Kamath     1. Importance of history taking in    Uveitis 
6.  Dr. Sharath Hegde 
  1. My Approach to Uveitic CME 
7.  Dr. Gladys Rodrigues 
  1. OCT in Posterior Uveitis 

The OEU Alumni Rolling Trophy for Debate was handed over to the winner Dr. Krutika Reddy, Sankara Eye Hospital, Shivamogga. An exciting Quiz was conducted where 13 teams participated and the winners are Dr. Shreeya and Dr. Harshith from AJ Hospital, Mangalore. The delegates were encouraged to be the members of Uveitis Society (India) during the CME. The event was well covered by the local media.

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