Uveitis surgery: Difference between revisions

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There is no surgical treatment of uveitis. Surgical options are mainly reserved for management of complications or in some cases 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=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3744781  }} </ref>
There is no surgical treatment of uveitis. Surgical options are mainly reserved for management of complications or in some cases 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=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3744781  }} </ref>
===Indications for surgery in uveitis===
===Indications for surgery in uveitis===
1.Therapeutic i.e visual rehabilitation:
Two main indications for surgery in uveitis are therapeutic and diagnostic .
====Therapeutic i.e visual rehabilitation====
*Surgery for removal [[cataract]]
*Surgery for removal [[cataract]]
*[[glaucoma]]  
*[[glaucoma]]  
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*[[retinal detachment]]  
*[[retinal detachment]]  
*chronic hypotony
*chronic hypotony
2.Diagnostic: Indications which require diagnostic procedures in cases of uveitis are as follows
====Diagnostic====
*[[aqueous tap]]
Indications which require diagnostic procedures in cases of uveitis are as follows:
*[[vitroeus]]
*[[tissue biopsy]]
 
===Surgical options for Visual Rehabilitation===
*Surgery for cataract impairing vision
*Surgery for Band shaped keratopathy in cases of chronic uveitis
'''Indications for surgery in Band shaped [[Keratopathy]]'''
*Juvenile idiopathic [[amblyopia]]
 
 
===Surgical options for Diagnostic purposes===
 
== Diagnostic [[Vitrectomy]]==
'''Indications for Diagnostic [[Vitrectomy]]'''
*Atypical clinical presentation
*Atypical clinical presentation
*Failure to response to treatment
*Failure to response to treatment
*Strong suspicion of [[malignancy]]
*Strong suspicion of [[malignancy]]
*Rapidly progressive disease with inconclusive work up
*Rapidly progressive disease with inconclusive work up
'''Methods used for Diagnostic Vitrectomy'''
Following are the few surgical options used for diagnostic purposes:
*[[Vitreous]] tap
*[[Vitreous]] tap
*[[Vitreous]] biopsy
*[[Vitreous]] biopsy
*[[Chorioretinal]] biopsy  
*[[Chorioretinal]] biopsy  
'''Surgical management of complications of Uveitis'''
'''''[[Glaucoma]]'''''
'''Indications for Uveitic Glaucoma surgery'''
*Glaucoma resistant to medical treatment
*Acute angle closure Glaucoma
'''Surgical options'''
*Glaucoma drainage implant if there is active inflammation
*[[Trabeculectomy]] with antiproliferative agent in cases of uncontrolled IOP
*Laser peripheral [[Iridotomy]] in cases of angle closure of glaucoma
'''''[[retinal detachment]]'''''
Several types of Vitreo-retinal surgeries are required for various types of retinal detachment resulting as a complications of uveitis.


==Reference==
==Reference==

Revision as of 16:25, 10 August 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]

Overview

Surgical management of uveitis is ususally reserved for patients with complications of uveitis or in cases where patient fails to respond to medical treatment.

Surgery

There is no surgical treatment of uveitis. Surgical options are mainly reserved for management of complications or in some cases for diagnostic purposes:[1]

Indications for surgery in uveitis

Two main indications for surgery in uveitis are therapeutic and diagnostic .

Therapeutic i.e visual rehabilitation

Diagnostic

Indications which require diagnostic procedures in cases of uveitis are as follows:

  • Atypical clinical presentation
  • Failure to response to treatment
  • Strong suspicion of malignancy
  • Rapidly progressive disease with inconclusive work up

Following are the few surgical options used for diagnostic purposes:

Reference

  1. Katzav S, Shapiro J, Segal S, yM (1986). "General nesthesia during excision of a mouse tumor accelerates postsurgical growth of metastases by suppression of natural killer cell activity". Isr J Med Sci. 22 (5): 339–45. PMID PMC3744781 : PMC3744781 Check |pmid= value (help).

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