Current Approach in the Diagnosis and Management of Uveitic Glaucoma

Uveitic glaucoma (UG) typically is associated with very high intraocular pressure (IOP) and more intense optic nerve damage than other glaucoma types. This secondary glaucoma requires an early diagnosis and adequate management of both uveitis and glaucoma. It is mandatory to identify the mechanisms...

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Bibliographic Details
Published in:BioMed research international 2015-01, Vol.2015 (2015), p.1-13
Main Authors: Rebolleda, Gema, Hernández-Martínez, Paula, Moreno-Montañés, Javier, Muñoz-Negrete, Francisco J.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Care and treatment
Cytomegalovirus
Diagnosis
Edema
Etiology
Glaucoma
Glaucoma - complications
Glaucoma - diagnosis
Glaucoma - pathology
Glaucoma - therapy
Humans
Hypertension
Inflammation
Ophthalmology
Optic nerve
Patients
Review
Rheumatoid arthritis
Steroids
Surgery
Uveitis - complications
Uveitis - diagnosis
Uveitis - pathology
Uveitis - therapy
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Summary:Uveitic glaucoma (UG) typically is associated with very high intraocular pressure (IOP) and more intense optic nerve damage than other glaucoma types. This secondary glaucoma requires an early diagnosis and adequate management of both uveitis and glaucoma. It is mandatory to identify the mechanisms of IOP elevation that in many eyes have multiple combined mechanisms. Management of these patients commonly requires an interdisciplinary approach that includes a glaucoma specialist and rheumatologist to control the inflammation and IOP. Glaucoma surgery is required early in these patients due to the high IOP usually present and is less successful than in primary open-angle glaucoma. Recurrent uveitic episodes, multiple mechanism, and the complications associated with uveitis make surgical management of UG challenging. In this review, the management and treatment of UG are updated to clarify the pathogenesis and prevent optic nerve damage.
ISSN:2314-6133
2314-6141
DOI:10.1155/2015/742792