Back to Search Start Over

Update on Diagnosis and Treatment of Uveitic Glaucoma.

Authors :
Halkiadakis, Ioannis
Konstantopoulou, Kalliroi
Tzimis, Vasilios
Papadopoulos, Nikolaos
Chatzistefanou, Klio
Markomichelakis, Nikolaos N.
Source :
Journal of Clinical Medicine. Mar2024, Vol. 13 Issue 5, p1185. 20p.
Publication Year :
2024

Abstract

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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
20770383
Volume :
13
Issue :
5
Database :
Academic Search Index
Journal :
Journal of Clinical Medicine
Publication Type :
Academic Journal
Accession number :
175991137
Full Text :
https://doi.org/10.3390/jcm13051185