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Abstract #24302 Published in IGR 11-3
Diagnosis and treatment of the secondary glaucoma with uveitis
Zheng Y; Shi JChinese Ophthalmic Research 2009; 27: 437-441
The glaucoma of secondary to uveitis was the common blind ocular disease. Its incidence is about 10% . The types of uveitis complicated with glaucoma include glaucomatocyclitic crisis,Fuchs heterochromic iridocyclitis,juvenile rheumatoid arthritis related uveitis, viral anterior uveitis, HLA-B27 related uveitis, intermediate uveitis, Vogt-Koyanagi-Harada disease, Behcet's disease and sarcoidosis. Though pathophysiology of uveitic glaucoma varied, most of these diseases were related to the peripheral anterior synechiae , pupillary block, trabecular obstruction, trabeculitis, Schlemm' s canalitis, forward rotation of ciliary body or prolonged usage of topical corticosteroids. The intention of comprehensive treatment is to control the inflammatory reaction and utilize anti-glaucoma medication. For the patients with glaucoma medical therapy failure, the laser or surgical iridectomy, trabeculectomy with antifibrotic drugs,drainage implants or cyclophotocoagulation are often helpful. To control uveitis appear to be an important approach to improving the uutcome of glaucoma surgery. LA: Chinese
Dr. Y. Zheng, Clinical Ophthalmic College of Tianjin Medical University, Tianjin Eye Hospital, Tianjin 300020, China. eye2002@163.com
Classification:
9.4.6 Glaucomas associated with inflammation, uveitis (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
