Uveitis surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
There | 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=== | |||
1.Therapeutic i.e visual rehabilitation: | |||
**Diagnostic: | *Surgery for removal [[cataract]] | ||
* | *[[glaucoma]] | ||
*[[band keratopathy]] | |||
*corneal scars | |||
*[[pupillary membranes]] | |||
*[[removal of dense vitreous membranes]] | |||
*[[vitreous heamorrhge]] | |||
*[[retinal detachment]] | |||
*chronic hypotony | |||
2.Diagnostic: | |||
*[[aqueous tap]] | |||
*[[vitroeus]] | |||
*[[tissue biopsy]] | |||
===Surgical options for Visual Rehabilitation=== | ===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]]''' | '''Indications for surgery in Band shaped [[Keratopathy]]''' | ||
*Juvenile idiopathic [[amblyopia]] | *Juvenile idiopathic [[amblyopia]] | ||
===Surgical options for Diagnostic purposes=== | ===Surgical options for Diagnostic purposes=== | ||
Revision as of 16:00, 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
1.Therapeutic i.e visual rehabilitation:
- Surgery for removal cataract
- glaucoma
- band keratopathy
- corneal scars
- pupillary membranes
- removal of dense vitreous membranes
- vitreous heamorrhge
- retinal detachment
- chronic hypotony
2.Diagnostic:
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
- 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
Several types of Vitreo-retinal surgeries are required for various types of retinal detachment resulting as a complications of uveitis.
Reference
- ↑ 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).