The Effect of Perioperative Uveitis Control on the Success o
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A Study was conducted to know the effects of perioperative uveitis control (PUC) on postoperative intraocular pressure (IOP) and uveitis activity in uveitic glaucoma (UG) patients who required glaucoma surgeries.

A retrospective chart review of 109 patients (120 eyes) which had glaucoma surgery for UG was done. A total of 66 eyes which had PUC were compared to 54 eyes which did not have. Measurements of IOP and uveitis activity were recorded preoperatively and over 2 years postoperatively. Average number of antiglaucoma medications and frequency of surgical failure were obtained in both groups.

Results:
--Over 2 years postoperatively, average IOP was lower in eyes which had PUC. Significant differences in IOP were found at 3 months, 6 months, 1 year, and 2 years.

--Lower grades of anterior chamber (AC) inflammation were found in eyes which had PUC. Significant differences were found at 1 month, 3 months and 6 months.

--Mean number of antiglaucoma medications at last visit was 0.7 ± 1.1 for eyes which had PUC and 2.6 ± 1.5 for eyes which did not have PUC.

--Among eyes which had PUC, only two eyes required second glaucoma surgeries, while 16 eyes with no PUC required further glaucoma surgeries after 27.7 ± 12.5 months.

Conclusivey, Proper PUC in patients undergoing UG surgeries leads to lower IOP levels and less AC inflammation after two years. Patients with uveitic glaucoma who are undergoing surgery would require a rigorous PUC regimen.

Source: https://www.dovepress.com/the-effect-of-perioperative-uveitis-control-on-the-success-of-glaucoma-peer-reviewed-article-OPTH
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