Current Management of Uveitis-associated Ocular Hypertension and Glaucoma

Title

Current Management of Uveitis-associated Ocular Hypertension and Glaucoma

Creator

Kesav Natasha; Palestine Alan G; Kahook Malik Y; Pantcheva Mina B

Publisher

Survey of Ophthalmology

Date

2019
2019-12-06

Description

Glaucoma secondary to ocular inflammation is potentially blinding and requires aggressive multifaceted management. The pathogenesis is related to the intraocular pressure (IOP) elevation secondary to compromised aqueous humor outflow by inflammatory cells, chemical mediators released into the aqueous, and to the uveitic therapy itself (corticosteroid induced). The management of uveitic glaucoma (UG) needs a careful combination between anti-inflammatory therapy and appropriate IOP-lowering drugs to prevent worsening of condition and long-term visual loss. While there have been novel medications that have emerged in the management of glaucoma and uveitis, around 30% of UG eyes do not respond to maximal medical therapy and require surgical intervention. Studied procedures include laser therapy, filtration surgery, and glaucoma drainage devices, as well as recent surgical techniques for intraocular pressure control such as minimally invasive glaucoma surgery and angle-based procedures. We review and update the medical and surgical management of UG.

Subject

corticosteroid; glaucoma; glaucoma surgery; intraocular pressure management; ocular hypertension; uveitis

Identifier

PMID: 31816329

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

ISSN

1879-3304

NEOMED College

NEOMED College of Medicine

NEOMED Department

NEOMED Student Publications

Update Year & Number

January 2020 Update

Citation

Kesav Natasha; Palestine Alan G; Kahook Malik Y; Pantcheva Mina B, “Current Management of Uveitis-associated Ocular Hypertension and Glaucoma,” NEOMED Bibliography Database, accessed January 22, 2021, https://neomed.omeka.net/items/show/10935.

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