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
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
- Surgery for removal cataract
- glaucoma
- band keratopathy
- corneal scars
- pupillary membranes
- removal of dense vitreous membranes
- vitreous heamorrhge
- retinal detachment
- chronic hypotony
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:
- Vitreous tap
- Vitreous biopsy
- Chorioretinal biopsy
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
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