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This abstract is assigned to session BGS
TitleUveitic and Steroid glaucoma: diagnosis and management
PurposeTo provide the audience with a clear understanding of the etiology, diagnosis and management of secondary glaucomas in patients with uveitis, which include entities caused by the uveitic disease as well as steroid-induced glaucoma
MethodsAn approach to the diagnosis of uveitic glaucoma will be presented based on the literature and on personal experience. The role of recent imaging devices in the diagnosis of uveitic glaucomas will be illustrated (anterior chamber OCT, UBM, OCT of the NFL). The indications for medical and surgical treatment will be discussed as well as the choice of drugs and surgical procedures.
ResultsSecondary glaucoma occurs in 20% of patients with chronic uveitis. The pathogenesis and the prevalence of secondary glaucoma depend on the etiology of the uveitis. Multiple mechanisms may co-exist (open-angle, closed-angle).
ConclusionSecondary glaucoma in uveitis patients tends to occur at younger age often with high IOP, increasing the risk of early field and disc damage. Management requires a correct diagnosis of the uveitis entity and careful consideration of the mechanism(s) responsable for the secondary glaucoma. Adequate control of both IOP and inflammation is the key to success. Therefore a multi-disciplinary approach is advisable (glaucoma specialist, uveitis specialist, internist, pediatrician,…).
Conflict of interestNo
Authors 1
DepartmentUniversity of Ghent
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