TJ-CEO
2020 , Vol 15 , Num 3
Treatment of Uveitic Glaucoma
Assoc. Prof., University of Health Science Beyoglu Eye Training and Research Hospital, Istanbul, Turkey
DOI :
10.37844/glauc.cat.2020.15.25
Glaucoma is a common and serious complication of uveitis. In uveitic glaucoma treatment, goal is to control infl ammation and reduce
intraocular pressure; thus to prevent permanent structural changes in the anterior chamber angle and optic nerve damage. Treatment should
be customized according to the patient. The fi rst step in the treatment is the control of infl ammation, and if necessary, anti-infectious
treatment should be added. Miotic agents should not be used as anti-glaucomatous treatment. Prostaglandin analogs can be used
carefully in the absence of macular edema and active infl ammation; it should not be used in eyes with herpetic keratitis or keratouveitis.
Glaucoma surgery is required in 25-30% of eyes with uveitic glaucoma. In uveitic glaucoma, surgery should be planned a few months after
the patients? infl ammation is controlled as much as possible; aggressive anti-infl ammatory therapy should be applied before, during and after
surgery.
Keywords :
Uveitis, Glaucoma, Uveitic glaucoma