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Masquerade syndromes

Uvea

Key Points

  • •Masquerade syndromes are non-inflammatory conditions mimicking uveitis - suspect when uveitis is unresponsive to corticosteroids or has atypical features
  • •Primary intraocular lymphoma (PIOL) is the most common malignant masquerade in adults - chronic vitritis with sub-RPE deposits, temporary steroid response, and IL-10:IL-6 ratio >1 on vitreous biopsy
  • •Retinoblastoma is the most common masquerade in children - NEVER biopsy (risk of extraocular seeding); leukocoria is the hallmark
  • •PIOL progresses to PCNSL in 60–80% within 2 years - MRI brain and CSF cytology are mandatory staging investigations
  • •Non-malignant masquerades include retained lens fragments, UGH syndrome, IOFB (siderosis), and Schwartz-Matsuo syndrome (RD with elevated IOP)

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  • Definition
  • Epidemiology
  • Aetiology and causes
  • Pathogenesis
  • Classification
  • Risk factors and associations

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