Free previewYou're reading the free part of this topic. The rest is included with Clinical.See what's included
Uveitic glaucoma
Glaucoma
Key Points
- •Uveitic glaucoma can occur via open-angle (TM obstruction, trabeculitis, steroid-induced) or angle-closure (posterior synechiae, pupillary block) mechanisms - gonioscopy is essential
- •The cardinal principle is: control inflammation FIRST, then treat IOP - uncontrolled inflammation undermines all glaucoma interventions
- •Avoid prostaglandin analogues and miotics in active uveitis - use aqueous suppressants (timolol, dorzolamide, brimonidine) as first-line IOP therapy
- •Tube shunts (Ahmed) are often preferred over trabeculectomy in uveitic glaucoma due to lower failure rates from inflammation-driven bleb scarring
- •Steroid-induced IOP elevation must always be distinguished from inflammatory IOP rise - the treatment is opposite (reduce steroids vs increase steroids)
Free preview ends here
Keep reading Uveitic glaucoma
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations