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Chapter-23 Surgery in Uveitis: Diagnostic and Therapeutic

BOOK TITLE: Clinical Ophthalmology: Medical and Surgical Approach

Author
1. Kaushik Sushmita
2. Gupta Amod
3. Gupta Vishali
ISBN
9789350250044
DOI
10.5005/jp/books/11246_23
Edition
2/e
Publishing Year
2011
Pages
10
Author Affiliations
1. Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Postgraduate Institute of Medical Education and Research Chandigarh, India, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Post Graduate Institute of Medical Education and Research, Chandigarh, India, Advanced Eye Center, PGI, Chandigarh, Postgraduate Institute of Ophthalmology, Chandigarh, India, Advanced Eye Care Centre, PGIMER, Chandigarh, India, Postgraduate Institute of Medical, Education and Research, Chandigarh, India
2. Advanced Eye Centre, Postgraduate Institute of Medical, Education and Research, Chandigarh, India, Postgraduate Institute of Medical, Education and Research, Chandigarh, India
3. Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh (India), King Khaled Eye Specialist Hospital, Riyadh, KSA, Postgraduate Institute of Medical, Education and Research, Chandigarh, India, Postgraduate Institute of Medical, Education and Research (PGIMER), Chandigarh, India
Chapter keywords

Abstract

Surgical interventions in uveitis include both diagnostic and therapeutic procedures. Diagnostic interventions include paracentesis or vitreous and/or chorioretinal biopsy that are sometimes required to reach a specific diagnosis. Therapeutic surgical procedures generally include cataract extraction, vitrectomy or glaucoma filtering surgery. Cataract occurs commonly in uveitis patients due to the inflammation per se and the concomitant use of corticosteroid as well as antiglaucoma medications (cholinergic agents) in some cases. Corticosteroids are the mainstay of uveitis treatment, and the untoward effects of uncontrolled uveitis far outweigh the development of cataract following corticosteroid therapy. The incidence of cataract approaches nearly 50% in many forms of uveitis, while in conditions like Fuchs’ heterochromic uveitis, it is reported to be as high as 77.8% of the cases. Posterior subcapsular cataract is the most common type of cataract seen in uveitis patients. Modern cataract surgery is reported to be safe even in the patients with a long history of intraocular inflammation.

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