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Review
. 2013 Jun;61(6):284-90.
doi: 10.4103/0301-4738.114103.

Surgical management in patient with uveitis

Somasheila I Murthy  1 , Rajeev Reddy Pappuru, K Madhavi Latha, Sripathi Kamat, Virender S Sangwan
Affiliations
Review

Surgical management in patient with uveitis

Somasheila I Murthy et al. Indian J Ophthalmol. 2013 Jun.

Abstract

Surgery in the management of uveitis can be divided based on indication: either for therapeutic or can be for diagnostic purposes or to manage complications. The commonest indications include: Visual rehabilitation: surgery for removal of cataract, band keratopathy, corneal scars, pupillary membranes, removal of dense vitreous membranes, management of complications: anti-glaucoma surgery, vitreous hemorrhage, retinal detachment and chronic hypotony and diagnostic: aqueous tap, vitreous biopsy, tissue biopsy (iris, choroid). In this review, we shall describe the surgical technique for visual rehabilitation and for management of complications.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Slit lamp photograph shows a patient with chronic idiopathic panuveitis with a white cataract and extensive posterior synechiae and neo-vascularization on the anterior lens capsule
Figure 2a
Figure 2a
Complicated cataract in a patient with idiopathic anterior uveitis with posterior synechia and a quiet eye at the time of surgery
Figure 2b
Figure 2b
Post-operative outcome after phacoemulsification
Figure 3a
Figure 3a
Pre-operative (a) photograph of a patient with Fuch's uveitic syndrome, showing diffuse, large keratic precipitates
Figure 3b
Figure 3b
Post-operative photograph shows recurrence of these precipitates as stellate deposits on the intraocular lens
Figure 4
Figure 4
Optic capture of the intraocular lens, which was implanted in the sulcus and pupillary membranes in a 35-year-old female patient with intermediate uveitis who underwent surgery 5 years ago
Figure 5
Figure 5
(a and b) Slit lamp photograph of a patient with chronic uveitis and secondary glaucoma who underwent Ahmed glaucoma valve implant, showing the valve well positioned in the anterior chamber, diffuse (a) and slit illumination (b)
Figure 6
Figure 6
Intra-operative photograph showing single port diagnostic vitrectomy using 23 G vitrectomy cutter with 2 ml disposable syringe connected to suction tubing
See this image and copyright information in PMC

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