Uveitis with raised intraocular tension is bestmanaged by ?
Correct Answer: Steroid
Description: Ans. is 'd' i.e., Steroid Drug of choice for uveitis in hypeensive uveitis (uveitic glaucoma)- Topical steroid along with mydriatic - cycloplegic (atropine). Drug of choice for raised IOT in acute anterior uveitis -Timolol. Management of uveitic glaucoma In general, the treatment of patients with uveitic glaucoma begins with the control of intraocular inflammation by topical steroids. If successful, in rare cases this treatment may normalize the 10P. Early anti- inflammatory therapy combined with mydriatics and cyloplegic drugs is used to prevent irreversible consequences of uveitis, such as posterior synechiae, peripheral and anterior synechiae However, medical and surgical antiglaucomatous therapy may be needed when the IOP does not respond to anti- inflammatory drugs. Topical 13- blockers are the drugs of choice for the treatment of raised 10P in patients with uveitic glaucoma. Adrenergic agonists like epinephrine or dipivefrin are also widely used. Other adrenergic drug, apraclonidine (a,- agonist) can also be used in acute LOP elevation. Topical or systemic carbonic anhydrase inhibitors can be used when 13 - blockers and adrenergic stimulators do not control the IOP or when they are contraindicated. Hyperosmotic agents are rarely used but may be of paicular value when TOP has to be lowered rapidly. When medical therapy fails, surgical treatment (laser iridotomy) should be considered. Among antiglaucoma medications, prostaglandin analogues (eg Latanoprost) should not be used as they breakdown the blood aqueous barrier and may exacerbate cystoid macular edema
Category:
Ophthalmology
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