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This abstract is assigned to session SBO-BOG Rapport: Société Belge d’Ophtalmologie - Belgisch Oftalmologisch Gezelschap
TitleLaser treatment in uveitis
PurposeType of laser used in uveitis: laser flare-cell photometer, Argon, Krypton, YAG, cyclo-diode, excimer.
Indications of laser in uveitis :
1. To evaluate the inflammation of the anterior chamber: laser flare-cell photometry to quantify intraocular inflammation.
2. To prevent complications of uveitis: to prevent retinal detachment in cases of retinal tear, retinal necroses ( herpes and CMV) or to prevent retinal neovasularization.
3. To treat complications of uveitis(= most frequent indication)
- Panretinal photocoagulations (PRP) to treat retinal and optic disc neovasularization in retinal occlusive vasculitis.
-PDT or krypton to treat macular and posterior choroid neovasculrarization (CNV) in choroiditis.
-Iridotomy: in iris bombé but a surgical iridectomy is needed later in 60%.
-Transscleral red cyclo-diode laser: to treat neovascular glaucoma in occlusive vasculitis or open angle therapy-resistant inflammatory glaucoma in adults (not in juvenile idiopathic uveitis).
4. To treat the uveitis itself: in rare cases of DUSN or in pars planitis.
Complications of lasers in uveitis: They are usually well controlled inflammation. Very rare complications include phtysis bulbi and sympathetic ophthalmia in cyclo-diode.
Author 1
Last nameCASPERS
InitialsL
DepartmentULB, CHU St-Pierre
CityBrussels
Author 2
Last nameJANSSENS
InitialsX
DepartmentULB, CHU St-Pierre
CityBrussels
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