Uveitis surgery
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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
Surgery
There are several surgical options for treatment of uveitis based on following indications:
- Indications:
- Therapeutic i.e visual rehabilitation: Surgery for removal of cataract, band keratopathy, corneal scars, pupillary membranes, removal of dense vitreous membranes.
- Diagnostic: aquoeus 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*: esp cases of retinal neovascularisation , retino-choroidal pathology or patient undergoing vitreo-retinal
surgery.
Surgical options in Band Shaped Keratopathy
- Phototherapeutic keratectomy
- Chemical chelation with EDTA
- Superficial keratectomy with or without adjuvent amniotic membrane transplant