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Titre

Uveitic and Steroid glaucoma: diagnosis and management

But	To provide the audience with a clear understanding of the etiology, diagnosis and management of secondary glaucomas in patients with uveitis, which include entities caused by the uveitic disease as well as steroid-induced glaucoma
Méthodes	An approach to the diagnosis of uveitic glaucoma will be presented based on the literature and on personal experience. The role of recent imaging devices in the diagnosis of uveitic glaucomas will be illustrated (anterior chamber OCT, UBM, OCT of the NFL). The indications for medical and surgical treatment will be discussed as well as the choice of drugs and surgical procedures.
Résultats	Secondary glaucoma occurs in 20% of patients with chronic uveitis. The pathogenesis and the prevalence of secondary glaucoma depend on the etiology of the uveitis. Multiple mechanisms may co-exist (open-angle, closed-angle).
Conclusion	Secondary glaucoma in uveitis patients tends to occur at younger age often with high IOP, increasing the risk of early field and disc damage. Management requires a correct diagnosis of the uveitis entity and careful consideration of the mechanism(s) responsable for the secondary glaucoma. Adequate control of both IOP and inflammation is the key to success. Therefore a multi-disciplinary approach is advisable (glaucoma specialist, uveitis specialist, internist, pediatrician,…).
Conflit d'intérêt	Non

Auteur 1

Nom	KESTELYN
Initiales	P
Institut	University of Ghent
Ville	Gent