Uveitic Glaucoma Interest Group Recommendations for Uveitis-Related Ocular Hypertension and Glaucoma Management
医学
葡萄膜炎
青光眼
眼科
高眼压
验光服务
作者
Mina B. Pantcheva,Sapna Gangaputra,Erin G. Sieck,Massimo Accorinti,Ron Neumann,Bryan Chin Hou Ang,Keith Barton,David Chu,John Grigg,John H. Kempen,Jeffrey M. Liebmann,Francisco J. Muñoz‐Negrete,Quan Nguyen,Alan G. Palestine,Jennifer E. Thorne,Charlotte van Meerwijk,Peizeng Yang,Marc D. de Smet
Uveitic eyes have a heightened risk of developing ocular hypertension (OHT) and glaucoma. IOP is often very high and highly variable, associated with rapid progression rates from OHT to glaucoma, and with more rapid visual field loss. Glaucoma can also develop at lower IOP as compared to non-uveitic patients. The UGIG proposes recommendations to standardize the care of UG patients, facilitating more effective management and optimizing visual outcomes. A consensus is presented regarding IOP management based on a more stringent IOP threshold of 16 mmHg. When possible, a close collaboration between a glaucoma specialist and the uveitis expert is preferred. Appropriate referral to glaucoma specialist should be made early, ideally at the time IOP-lowering therapy is initiated.