Uveitic glaucoma

A type of secondary glaucoma associated with uveitis

Uveitic glaucoma is a form of secondary glaucoma that occurs in association with uveitis, an inflammation of the uvea, the middle layer of the eye. This condition can lead to increased intraocular pressure (IOP) and potential damage to the optic nerve, resulting in vision loss if not properly managed.

Pathophysiology

Uveitic glaucoma arises due to the inflammatory processes associated with uveitis. Inflammation can lead to the obstruction of the trabecular meshwork, the eye's drainage system, causing an increase in intraocular pressure. Additionally, the use of corticosteroids to treat uveitis can also contribute to elevated IOP in some patients.

Symptoms

Patients with uveitic glaucoma may experience symptoms such as eye pain, redness, blurred vision, and halos around lights. These symptoms are often accompanied by those of uveitis, including photophobia and floaters.

Diagnosis

Diagnosis of uveitic glaucoma involves a comprehensive eye examination, including measurement of intraocular pressure, assessment of the optic nerve, and evaluation of the anterior chamber for signs of inflammation. The presence of hypopyon, a layer of white blood cells in the anterior chamber, can be indicative of severe inflammation.

File:Hypopyon.jpg

Hypopyon in the anterior chamber of the eye.

Management

The management of uveitic glaucoma involves controlling both the intraocular pressure and the underlying uveitis. Treatment options include topical and systemic medications to reduce inflammation and lower IOP. In some cases, surgical intervention may be necessary to manage the glaucoma effectively.

Prognosis

The prognosis for patients with uveitic glaucoma varies depending on the severity of the uveitis and the response to treatment. Early detection and appropriate management are crucial to prevent vision loss.

Related pages

• Glaucoma
• Uveitis
• Intraocular pressure

References

Anterior chamber cell grading scale used in the assessment of uveitis.

Uveitic_glaucoma

• Hypopyon in the anterior chamber
  Hypopyon in the anterior chamber
• 
  Anterior Chamber Cell Grading Scale