Uveitis surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Uveitis}} | {{Uveitis}} | ||
{{CMG}}; {{AE}}{{TarekNafee}} | {{CMG}}; {{AE}} {{TarekNafee}} | ||
==Overview== | ==Overview== | ||
There is no indication for surgical intervention in uveitis. Surgical management of uveitis is most commonly reserved for management of complications of uveitis or, rarely, for diagnostic purposes. Common complications of uveitis requiring surgery include [[cataract surgery]], [[glaucoma surgery]], or [[band keratopathy]]. Common indications for the diagnostic utility of surgery in uveitis include [[vitreous]] tap, [[vitreous]] biopsy, and posterior uveal biopsy.<ref name="pmid: PMC3744781">{{cite journal| author=Katzav S, Shapiro J, Segal S, yM| title=General nesthesia during excision of a mouse tumor accelerates postsurgical growth of metastases by suppression of natural killer cell activity. | journal=Isr J Med Sci | year= 1986 | volume= 22 | issue= 5 | pages= 339-45 | pmid=: PMC3744781 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pu bmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3744781 }} </ref> | |||
==Surgery== | ==Surgery== | ||
There | There is no surgical treatment of uveitis. Surgical options are most commonly reserved for management of complications or rarely for diagnostic purposes:<ref name="pmid: PMC3744781">{{cite journal| author=Katzav S, Shapiro J, Segal S, yM| title=General nesthesia during excision of a mouse tumor accelerates postsurgical growth of metastases by suppression of natural killer cell activity. | journal=Isr J Med Sci | year= 1986 | volume= 22 | issue= 5 | pages= 339-45 | pmid=: PMC3744781 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pu bmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3744781 }} </ref> | ||
===Indications for surgery in uveitis=== | |||
The primary indications for surgery in uveitis include management of complications and diagnostic procedures. | |||
====Management of Complications==== | |||
The following surgical procedures may be performed to manage the following complications of uveitis: | |||
=== | *[[Cataract surgery]] | ||
*[[Glaucoma surgery]] | |||
*[[Band keratopathy]] | |||
*Cataract | *Corneal scars | ||
*[[Pupillary membranes]] | |||
surgery | *Removal of dense [[vitreous]] membranes | ||
*[[Vitreous hemorrhage]] | |||
*[[Retinal detachment]] | |||
*Chronic hypotony | |||
* | |||
* | |||
* | |||
* | |||
* | |||
== Diagnostic | ====Diagnostic==== | ||
Indications for surgical diagnostic procedures in uveitis include: | |||
*Atypical clinical | *Atypical clinical presentations | ||
*Failure to | *Failure to respond to treatment | ||
*Strong suspicion of [[malignancy]] | *Strong suspicion of [[malignancy]] | ||
*Rapidly progressive disease with inconclusive work up | *Rapidly progressive disease with inconclusive work up | ||
Surgical options used for diagnostic purposes may include: | |||
*[[Vitreous]] tap | *[[Vitreous]] tap | ||
*[[Vitreous]] | *[[Vitreous]] [[biopsy]] | ||
*Chorioretinal [[biopsy]] | |||
*[[ | |||
==Reference== | ==Reference== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category: | [[Category:FinalQCRequired]] | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 00:37, 30 July 2020
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Uveitis surgery On the Web |
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American Roentgen Ray Society Images of Uveitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
There is no indication for surgical intervention in uveitis. Surgical management of uveitis is most commonly reserved for management of complications of uveitis or, rarely, for diagnostic purposes. Common complications of uveitis requiring surgery include cataract surgery, glaucoma surgery, or band keratopathy. Common indications for the diagnostic utility of surgery in uveitis include vitreous tap, vitreous biopsy, and posterior uveal biopsy.[1]
Surgery
There is no surgical treatment of uveitis. Surgical options are most commonly reserved for management of complications or rarely for diagnostic purposes:[1]
Indications for surgery in uveitis
The primary indications for surgery in uveitis include management of complications and diagnostic procedures.
Management of Complications
The following surgical procedures may be performed to manage the following complications of uveitis:
- Cataract surgery
- Glaucoma surgery
- Band keratopathy
- Corneal scars
- Pupillary membranes
- Removal of dense vitreous membranes
- Vitreous hemorrhage
- Retinal detachment
- Chronic hypotony
Diagnostic
Indications for surgical diagnostic procedures in uveitis include:
- Atypical clinical presentations
- Failure to respond to treatment
- Strong suspicion of malignancy
- Rapidly progressive disease with inconclusive work up
Surgical options used for diagnostic purposes may include:
Reference
- ↑ 1.0 1.1 Katzav S, Shapiro J, Segal S, yM (1986). bmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3744781 "General nesthesia during excision of a mouse tumor accelerates postsurgical growth of metastases by suppression of natural killer cell activity" Check
|url=value (help). Isr J Med Sci. 22 (5): 339–45. PMID PMC3744781 : PMC3744781 Check|pmid=value (help).