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Controversies between how to handle uveitis and glaucoma. The point of view of the glaucoma specialist
Author(s) -
Bron A.
Publication year - 2016
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.1755-3768.2016.0007
Subject(s) - gonioscopy , medicine , glaucoma , uveitis , ophthalmology , intraocular pressure , iridectomy , optic nerve , iris (biosensor) , complication , aqueous humor , anterior chamber angle , optometry , surgery , computer security , computer science , biometrics
Summary Raised intraocular pressure and glaucoma are frequently seen in uveitis, and may represent a serious complication. Inflammatory substances released during uveitis and the treatments used, mainly corticosteroids, probably alter the normal anatomic structure of the anterior chamber and angle, influencing aqueous dynamics. The clinical presentations may vary according to the irido‐corneal angle. In angle closure, iris bombé is well recognised due to the acute elevation of IOP. However when the angle remains open, a careful monitoring of IOP and optic nerve head are needed, because the evolution is more insidious. Therefore gonioscopy is the key examination in the diagnosis and management of secondary IOP elevations and glaucomas and allows an appropriate treatment.