Uveitic glaucoma management with recurrent uveitis episode
Main Article Content
Keywords
Uveitis, Secondary Glaucoma, Nd YAG Laser
Abstract
Introduction: Uveitic glaucoma is used to describe glaucoma resulting indirectly or directly from uveitis. Anterior uveitis accounts for more cases of uveitic glaucoma than do intermediate or posterior uveitis. Uveitic glaucoma is a complex disease entity, which is present challenges in management. This case report aims to discuss the clinical signs and management of uveitic glaucoma.
Case Report: A man 18 years old, complained of red eyes accompanied by blurred vision for 1 week before admitted to the hospital. Visual acuity on the right eye 1/300, on left eye 6/24 did not improve with pinhole. Anterior segment examination on both eyes found Van Herrick 3-4 posterior synechia at the 12-6 o’clock on the right eye and 11-1 o’clock left eye, hazy lens with iris pigmented and posterior segment examination found cloudy vitreous with decreasing reflex fundus. Intraocular pressure is 16 mmHg right eye and 49 mmHg left eye. The gonioscopy examination found a cilliary body in all quadrants on the right eye and found a scleral spur in the nasal quadrant with cilliary body in other quadrant on left eye. Patients with a history and currently on treatment for uveitis with secondary glaucoma. Patients undergo with surgical combination and Nd YAG laser therapy.
Discussion: Combination of medical-surgery and routinely follow-up patients provide optimal result.
Conclusion: Uveitic glaucoma is a disease with a high recurrence rate. A multidisciplinary approach is necessary to achieve a successful outcome.
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