Review of therapeutic modalities for glaucoma secondary to uveitis

Purpose: To present a review of therapeutic modalities and their outcome for glaucoma secondary to uveitis. Cases and Method: This retrospective study was made on 171 new patients who were diagnosed with uveitis at the Yamaguchi University Hospital during the past 4 years. Results: Glaucoma was present or developed in 39 cases (22.8%). Glaucoma was related to intraocular inflammation in 21 cases (53.8%) and to corticosteroid in 18 cases (46.2%). Glaucoma related to intraocular inflammation was more frequent in cases of anterior uveitis. Corticosteroid glaucoma was more frequent in uveitis associated with systemic manifestations. Patients were treated by anti-inflammatory measures, reduction or withdrawal of corticosteroid, topical or systemic use of antiglaucoma agents, or surgical intervention according to the causative factors. Conclusion: Glaucoma in patients with uveitis was equally due to intraocular inflammation and use of corticosteroid. The patients needed treatments according to the causative factors.