Uveitic glaucoma

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Obesity, Sleep & Internal medicine
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Uveitic glaucoma
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Synonyms
Pronounce	N/A
Specialty	N/A
Symptoms	Eye pain, redness, blurred vision, photophobia
Complications	Vision loss, optic nerve damage
Onset
Duration
Types
Causes	Uveitis, intraocular inflammation
Risks
Diagnosis	Tonometry, slit lamp examination, gonioscopy
Differential diagnosis	Primary open-angle glaucoma, angle-closure glaucoma
Prevention
Treatment	Topical corticosteroids, intraocular pressure lowering medications, surgery
Medication	Corticosteroids, beta blockers, carbonic anhydrase inhibitors
Prognosis
Frequency
Deaths

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.

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.

See also

• Glaucoma
• Uveitis
• Intraocular pressure