Uveitis surgery: Difference between revisions
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*Glaucoma drainage implant if there is active inflammation | *Glaucoma drainage implant if there is active inflammation | ||
*[[Trabeculectomy]] with antiproliferative agent in cases of uncontrolled IOP | *[[Trabeculectomy]] with antiproliferative agent in cases of uncontrolled IOP | ||
*Laser peripheral [[Iridotomy]] in cases of angle closure of | *Laser peripheral [[Iridotomy]] in cases of angle closure of glaucoma | ||
'''''[[Retinal detachment]]''''' | |||
Vitreo-retinal surgery is required for various types of retinal detachment. | |||
==Reference== | ==Reference== | ||
Revision as of 14:15, 10 August 2016
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Uveitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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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
Surgery
There are several surgical options for treatment of uveitis based on following indications:[1]
- Indications:
- Therapeutic i.e visual rehabilitation: Surgery for removal of cataract, band keratopathy, corneal scars, pupillary membranes, removal of dense vitreous membranes.
- Diagnostic: aqueous tap, vitroeus biopsy, tissue biopsy
- Management of complications: Surgery for glaucoma, vitreous hemorrhage, retinal detachment and chronic hypotony.
Surgical options for Visual Rehabilitation
Indications for cataract surgery
- Phaco-antigenic uveitis: leakage of lens protein resulting in inflammation
- Cataract impairing vision
- Cataract impairing posterior segment visualisation: cases of retinal neovascularisation, retino-choroidal pathology or patient undergoing vitreo-retinal
surgery.
Surgical options for cataract surgery
- Phacoemulsification
- Extracapsular cataract extraction
- Posterior chamber intraocular lens implantation
Indications for surgery in Band shaped Keratopathy
- Juvenile idiopathic amblyopia
Surgical options in Band Shaped Keratopathy
- Phototherapeutic keratectomy
- Chemical chelation with EDTA
- Superficial keratectomy with or without adjuvent amniotic membrane transplant
Surgical options for Diagnostic purposes
Diagnostic Vitrectomy
Indications for diagnostic vitrectomy
- Atypical clinical presentation
- Failure to response to treatment
- Strong suspicion of malignancy
- Rapidly progressive disease with inconclusive work up
Methods used for Diagnostic Vitrectomy
- Vitreous tap
- Vitreous biopsy
- Chorioretinal biopsy
Surgical management of complications of Uveitis
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 Vitreo-retinal surgery is required for various types of retinal detachment.
Reference
- ↑ Katzav S, Shapiro J, Segal S, Feldman M (1986). "General anesthesia 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).