Glaucoma in Uveitic Eyes: Long-Term Clinical Course and Management Measures

Pillai, Manju; Balasubramaniam, Niranjana; Wala, Narendra; Mathews, Ann Mary; Tejeswi, Beeram; Krishna, Harini; Ishrath, Deeba; Rathinam, SR; S, Mohamed Sithiq Uduman

doi:10.1080/09273948.2023.2202740

Cited by 1 publication

(2 citation statements)

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“…According to several studies, almost 30% of patients with UG will need surgical treatment [ 8 , 59 , 60 ]. This percentage may be significantly higher in children [ 8 ].…”

Section: Treatmentmentioning

confidence: 99%

“…Uveitis patients may have a wide variation in their IOP and there is always a possibility of ocular hypertension alternating with ocular hypotony, with devastating consequences for the eye. While reviewing the literature of more than two decades, it is generally accepted that either trabeculectomy [ 59 ] or valve [ 60 ] implantation are safe and most of the times successful procedures in the treatment of UG. However, most of studies evaluating surgical techniques in UG are retrospective in their design with a small number of participants; furthermore, they present data in various different ways, and many of them have a limited follow-up period.…”

Section: Treatmentmentioning

confidence: 99%

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Update on Diagnosis and Treatment of Uveitic Glaucoma

Halkiadakis,

Konstantopoulou,

Tzimis

et al. 2024

JCM

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Glaucoma is a common and potentially blinding complication of uveitis. Many mechanisms are involved alone or in combination in the pathogenesis of uveitic glaucoma (UG). In terms of diagnostic evaluation, the effects of inflammatory activity in the retinal nerve fiber layer may be a source of bias in the interpretation of optical coherence tomography measurements. For the successful treatment of UG, the control of intraocular inflammation specific to the cause or anti-inflammatory treatment, combined with IOP management, is mandatory. The early institution of specific treatment improves the prognosis of UG associated with CMV. The young age of UG patients along with increased failure rates of glaucoma surgery in this group of patients warrants a stepwise approach. Conservative and conjunctival sparing surgical approaches should be adopted. Minimally invasive surgical approaches were proved to be effective and are increasingly being used in the management of UG along with the traditionally used techniques of trabeculectomy or tubes. This review aims to summarize the progress that recently occurred in the diagnosis and treatment of UG.

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“…According to several studies, almost 30% of patients with UG will need surgical treatment [ 8 , 59 , 60 ]. This percentage may be significantly higher in children [ 8 ].…”

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%