Sanjoy Chowdhury
Bokaro General Hospital, India
Title: Secondary glaucoma in uveitis: Can incidence be reduced?
Biography
Biography: Sanjoy Chowdhury
Abstract
Background: Secondary Glaucoma, due to disease or drugs is common in uveitis.
Purpose: To evaluate prevalence of secondary glaucoma (SG) in uveitis with different treatment regimen.
Methods: Randomised prospective hospital based study of uveitis from 2007-2012. Baseline IOP, Field and optic nerve head
photographs were recorded. Three groups were randomised: (1) topical steroid, (2) Systemic steroid+gr-1 and (3) Topical
synthetic steroids, cycloplegic and periorbital triamcinolone injection. IOP more than 22 mm/4mm increase from baseline is
marker.
Results: 1254 uveitis cases, prevalence rate 63/100000 and 82 SG, 70% in anterior uveitis. During treatment, SG was maximum
(80%) in first group and least (5%) with synthetic steroid combined with periorbital triamcinolone. Multi variate analysis
shows synthetic steroid and periorbital triamcinolone has least association with SG.
Conclusion: SG is an underappreciated visual threat in uveitis which can be modulated effectively with newer steroids.