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:[1]

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

Surgical options in Band Shaped Keratopathy

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

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

  1. 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).

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