Glaucoma associated with uveitis

Details

Serval ID
serval:BIB_D6349199E3A5
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Glaucoma associated with uveitis
Journal
Survey of Ophthalmology
Author(s)
Moorthy  R. S., Mermoud  A., Baerveldt  G., Minckler  D. S., Lee  P. P., Rao  N. A.
ISSN
0039-6257 (Print)
Publication state
Published
Issued date
04/1997
Volume
41
Number
5
Pages
361-94
Notes
Journal Article
Review --- Old month value: Mar-Apr
Abstract
Raised intraocular pressure is a common and frequently serious complication of anterior uveitis. The milieu of inflammatory cells, the mediators they release, and the corticosteroid therapy used to treat the uveitis can participate in the pathogenesis of uveitic glaucoma. These factors alter the normal anatomic structure of the anterior chamber and angle, influencing aqueous production and outflow. These changes act to disrupt the homeostatic mechanisms of intraocular pressure control. Structural changes in the angle can be acute, such as in secondary angle closure with pupillary block glaucoma, or chronic, such as combined steroid-induced and secondary open angle glaucoma. Management of uveitic glaucoma may be difficult because of the numerous mechanisms involved in its pathogenesis. Diagnostic and therapeutic decisions are guided by careful delineation of the pathophysiology of each individual case. The goal of treatment is to minimize permanent structural alteration of aqueous outflow and to prevent damage to the optic nerve head. This article reviews the pathogenesis of uveitic glaucoma, with specific attention to etiology. Medical and surgical therapies are also discussed, with emphasis on the more recent developments in each category.
Keywords
Glaucoma/*complications/diagnosis/therapy Humans Uveitis/*complications/diagnosis/therapy
Pubmed
Web of science
Create date
28/01/2008 13:49
Last modification date
20/08/2019 16:56
Usage data