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Management of secondary glaucoma in patients with uveitis
Author(s) -
MUMCUOGLU T,
OZGE G
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.t049.x
Subject(s) - medicine , trabeculectomy , glaucoma , uveitis , ophthalmology , complication , medical record , medical therapy , glaucoma surgery , surgery , retrospective cohort study
Purpose To report the clinical course of patients with uveitic glaucoma. Methods The medical records of the patients diagnosed with uveitic glaucoma at the Glaucoma Service of the Department of Ophthalmology were reviewed retrospectively. Results Twenty eight patients (38 eyes) presented, of whom 20 were male and 8 were female. The mean age was 50.4±16.5. Eighteen patients had disease unilaterally and 10 bilaterally. Uveitis was associated Behçet’s disease in 6 patients, and idiopathic in 22 patients. All patients initially received topical medical therapy. Sixteen eyes were treated with monotherapy and 22 eyes with multitherapy. Surgical procedures (trabeculectomy or combined phacotabeculectomy) were performed in 20 eyes in which medical therapy failed. Secondary surgical procedures such as bleb revision or drainage implantation were needed in 6 eyes. Conclusion Secondary glaucoma associated with uveitis is an underappreciated, vision‐threatening complication and a challenging condition to manage.