Current surgical management approaches for uveitic glaucoma / 中华实验眼科杂志

ABSTRACT

Glaucoma is a potentially blinding complication of uveitis. Management of uveitic glaucoma remains challenging. Vision can be partly recovered if correct diagnosis and timely treatment are given. The mechanisms of intraocular pressure ( IOP) elevation include peripheral anterior synechia,pupillary block,trabecular meshwork inflammation, cyclitis and prolonged corticosteroid use. Treatment is targeted at identifying the cause of raised IOP first,followed by etiological treatment and IOP lowering medications. The indications for surgery include uncontrolled IOP despite maximum-tolerated medical management or definite optic nerve damage. Recently,selective laser trabeculopasty for steroid-induced intraocular hypertension/open angle glaucoma,CO2 laser-assisted sclerectomy surgery or micro-invasive glaucoma surgery for uveitic glaucoma have been gradually applied in clinical practice.