Surgical management of open-angle glaucoma associated with uveitis

Herbert P. Fechter, Richard K Parrish

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Uveitic glaucoma poses special challenges for the internist, rheumatologist, uveitis specialist, glaucoma specialist and the patient. Exuberant inflammation, severe conjunctival scarring, iris neovascularization, corticosteroid-induced cataracts, medication side effects and the increased risk of hypotony make uveitic glaucoma especially difficult to manage. Careful preoperative evaluation insures that the correct diagnosis is made and an appropriate treatment plan is implemented. It is imperative that pre-and postoperative intraocular inflammation be controlled adequately with judicious medication use. When conservative measures fail, glaucoma drainage devices can provide an effective means of lowering intraocular pressure. Although several different, effective drainage implants are available, we prefer to use the modified 250 mm2 BGDD for the majority of our uveitic patients with elevated IOP. Innovations in implantation technique and glaucoma drainage device modifications have improved our ability to achieve and maintain a low IOP in these challenging uveitic eyes. Careful preoperative planning and meticulous attention to operative technique can minimize complications and enhance surgical safety and efficacy.

Original languageEnglish
Title of host publicationSurgical Management of Inflammatory Eye Disease
PublisherSpringer Berlin Heidelberg
Pages173-192
Number of pages20
ISBN (Print)9783540338611
DOIs
StatePublished - Dec 1 2008

Fingerprint

Open Angle Glaucoma
Uveitis
Glaucoma
Drainage
Inflammation
Equipment and Supplies
Iris
Intraocular Pressure
Cataract
Cicatrix
Adrenal Cortex Hormones
Safety

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Fechter, H. P., & Parrish, R. K. (2008). Surgical management of open-angle glaucoma associated with uveitis. In Surgical Management of Inflammatory Eye Disease (pp. 173-192). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-540-33862-8_16

Surgical management of open-angle glaucoma associated with uveitis. / Fechter, Herbert P.; Parrish, Richard K.

Surgical Management of Inflammatory Eye Disease. Springer Berlin Heidelberg, 2008. p. 173-192.

Research output: Chapter in Book/Report/Conference proceedingChapter

Fechter, HP & Parrish, RK 2008, Surgical management of open-angle glaucoma associated with uveitis. in Surgical Management of Inflammatory Eye Disease. Springer Berlin Heidelberg, pp. 173-192. https://doi.org/10.1007/978-3-540-33862-8_16
Fechter HP, Parrish RK. Surgical management of open-angle glaucoma associated with uveitis. In Surgical Management of Inflammatory Eye Disease. Springer Berlin Heidelberg. 2008. p. 173-192 https://doi.org/10.1007/978-3-540-33862-8_16
Fechter, Herbert P. ; Parrish, Richard K. / Surgical management of open-angle glaucoma associated with uveitis. Surgical Management of Inflammatory Eye Disease. Springer Berlin Heidelberg, 2008. pp. 173-192
@inbook{db3d555bf884495faabd9b7eb08008e7,
title = "Surgical management of open-angle glaucoma associated with uveitis",
abstract = "Uveitic glaucoma poses special challenges for the internist, rheumatologist, uveitis specialist, glaucoma specialist and the patient. Exuberant inflammation, severe conjunctival scarring, iris neovascularization, corticosteroid-induced cataracts, medication side effects and the increased risk of hypotony make uveitic glaucoma especially difficult to manage. Careful preoperative evaluation insures that the correct diagnosis is made and an appropriate treatment plan is implemented. It is imperative that pre-and postoperative intraocular inflammation be controlled adequately with judicious medication use. When conservative measures fail, glaucoma drainage devices can provide an effective means of lowering intraocular pressure. Although several different, effective drainage implants are available, we prefer to use the modified 250 mm2 BGDD for the majority of our uveitic patients with elevated IOP. Innovations in implantation technique and glaucoma drainage device modifications have improved our ability to achieve and maintain a low IOP in these challenging uveitic eyes. Careful preoperative planning and meticulous attention to operative technique can minimize complications and enhance surgical safety and efficacy.",
author = "Fechter, {Herbert P.} and Parrish, {Richard K}",
year = "2008",
month = "12",
day = "1",
doi = "10.1007/978-3-540-33862-8_16",
language = "English",
isbn = "9783540338611",
pages = "173--192",
booktitle = "Surgical Management of Inflammatory Eye Disease",
publisher = "Springer Berlin Heidelberg",

}

TY - CHAP

T1 - Surgical management of open-angle glaucoma associated with uveitis

AU - Fechter, Herbert P.

AU - Parrish, Richard K

PY - 2008/12/1

Y1 - 2008/12/1

N2 - Uveitic glaucoma poses special challenges for the internist, rheumatologist, uveitis specialist, glaucoma specialist and the patient. Exuberant inflammation, severe conjunctival scarring, iris neovascularization, corticosteroid-induced cataracts, medication side effects and the increased risk of hypotony make uveitic glaucoma especially difficult to manage. Careful preoperative evaluation insures that the correct diagnosis is made and an appropriate treatment plan is implemented. It is imperative that pre-and postoperative intraocular inflammation be controlled adequately with judicious medication use. When conservative measures fail, glaucoma drainage devices can provide an effective means of lowering intraocular pressure. Although several different, effective drainage implants are available, we prefer to use the modified 250 mm2 BGDD for the majority of our uveitic patients with elevated IOP. Innovations in implantation technique and glaucoma drainage device modifications have improved our ability to achieve and maintain a low IOP in these challenging uveitic eyes. Careful preoperative planning and meticulous attention to operative technique can minimize complications and enhance surgical safety and efficacy.

AB - Uveitic glaucoma poses special challenges for the internist, rheumatologist, uveitis specialist, glaucoma specialist and the patient. Exuberant inflammation, severe conjunctival scarring, iris neovascularization, corticosteroid-induced cataracts, medication side effects and the increased risk of hypotony make uveitic glaucoma especially difficult to manage. Careful preoperative evaluation insures that the correct diagnosis is made and an appropriate treatment plan is implemented. It is imperative that pre-and postoperative intraocular inflammation be controlled adequately with judicious medication use. When conservative measures fail, glaucoma drainage devices can provide an effective means of lowering intraocular pressure. Although several different, effective drainage implants are available, we prefer to use the modified 250 mm2 BGDD for the majority of our uveitic patients with elevated IOP. Innovations in implantation technique and glaucoma drainage device modifications have improved our ability to achieve and maintain a low IOP in these challenging uveitic eyes. Careful preoperative planning and meticulous attention to operative technique can minimize complications and enhance surgical safety and efficacy.

UR - http://www.scopus.com/inward/record.url?scp=84892050844&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892050844&partnerID=8YFLogxK

U2 - 10.1007/978-3-540-33862-8_16

DO - 10.1007/978-3-540-33862-8_16

M3 - Chapter

SN - 9783540338611

SP - 173

EP - 192

BT - Surgical Management of Inflammatory Eye Disease

PB - Springer Berlin Heidelberg

ER -