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Oman Journal of Ophthalmology. 2011; 4 (1): 3-9
en Inglés | IMEMR | ID: emr-109947

RESUMEN

Glaucoma is seen in about 20% of the patients with uveitis. Anterior uveitis may be acute, subacute, or chronic. The mechanisms by which iridocyclitis leads to obstruction of aqueous outflow include acute, usually reversible forms [e.g., accumulation of inflammatory elements in the intertrabecular spaces, edema of the trabecular lamellae, or angle closure due to ciliary body swelling] and chronic forms [e.g., scar formation or membrane overgrowth in the anterior chamber angle]. Careful history and follow-up helps distinguish steroid-induced glaucoma from uveitic glaucoma. Treatment of combined iridocyclitis and glaucoma involves steroidal and nonsteroidal anti-inflammatory agents and antiglaucoma drugs. However, glaucoma drugs can often have an unpredictable effect on intraocular pressure [IOP] in the setting of uveitis. Surgical intervention is required in case of medical failure. Literature on the Medline database was searched using the PubMed interface


Asunto(s)
Humanos , Uveítis/complicaciones , Glaucoma/tratamiento farmacológico , Presión Intraocular , Hipertensión Ocular/etiología , Glaucoma/patología , Inflamación/complicaciones
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