Uveitic glaucoma
Last updated: February 8th, 2022
Summary of Evidence
IOP fluctuations
The diurnal variation in IOP was significantly higher in Uveitic glaucoma than in Primary open angle glaucoma patients. {Esen F, Eraslan M, Cerman E, Celiker H, Kazokoglu H. Diurnal Spikes of Intraocular Pressure in Uveitic Glaucoma: A 24-hour Intraocular Pressure Monitoring Study. Semin Ophthalmol. 2020 May 18;35(4):246-251.}
Glaucoma surgery
Ahmed tube vs Baerveldt tube
There was higher complete success rate and significantly greater reduction in mean IOP and number of medications in the Baerveldt group vs Ahmed group, but with a higher rate of complications including hypotony. {Sinha S, Ganjei AY, McWatters Z, Lee D, Moster MR, Myers JS, Kolomeyer N, Mantravadi AV, Pro MJ, Razeghinejad R. Ahmed Versus Baerveldt Glaucoma Drainage Device in Uveitic Glaucoma: A Retrospective Comparative Study. J Glaucoma. 2020 Sep;29(9):750-755.}
Combined Dexamethasone Intravitreal Implant and Glaucoma Drainage Device Placement
In 56 eyes of 37 patients with uveitis that underwent fluocinolone acetonide implantation, concurrent or subsequent glaucoma drainage implant surgery offered excellent long-term control of IOP. Outcomes at mean follow up of 71 months:{Cao JL, Srivastava SK, Lowder CY, Sharma S, Baynes K, Eisengart J. Long-term Outcomes of Glaucoma Drainage Implants in Uveitic Eyes With Fluocinolone Acetonide Implants. J Glaucoma. 2020 Sep;29(9):789-793.}
- IOP was reduced by mean of 52.9%
- Number of medications decreased by mean of 69.0%
- Surgical success rate was 71.4% at 10 years