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2015 ; 2015
(ä): 974870
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Clinical Outcome of Hypertensive Uveitis
#MMPMID26504598
Lewkowicz D
; Willermain F
; Relvas LJ
; Makhoul D
; Janssens S
; Janssens X
; Caspers L
J Ophthalmol
2015[]; 2015
(ä): 974870
PMID26504598
show ga
Purpose. To review the clinical outcome of patients with hypertensive uveitis.
Methods. Retrospective review of uveitis patients with elevated intraocular
pressure (IOP) > 25?mmHg and >1-year follow-up. Data are uveitis type, etiology,
viral (VU) and nonviral uveitis (NVU), IOP, and medical and/or surgical
treatment. Results. In 61 patients, IOP values are first 32.9?mmHg (SD: 9.0),
highest 36.6?mmHg (SD: 9.9), 3 months after the first episode 19.54?mmHg (SD:
9.16), and end of follow-up 15.5?mmHg (SD: 6.24). Patients with VU (n = 25) were
older (50.6?y/35.7?y, p = 0.014) and had more unilateral disease (100%/72.22%??p
= 0.004) than those with NVU (n = 36). Thirty patients (49.2%) had an elevated
IOP before topical corticosteroid treatment. Patients with viral uveitis might
have higher first elevated IOP (36.0/27.5?mmHg, p = 0,008) and maximal IOP
(40.28/34.06?mmHg, p = 0.0148) but this was not significant when limited to the
measurements before the use of topical corticosteroids (p = 0.260 and 0.160).
Glaucoma occurred in 15 patients (24.59%) and was suspected in 11 (18.03%)
without difference in viral and nonviral groups (p = 0.774). Conclusion. Patients
with VU were older and had more unilateral hypertensive uveitis. Glaucoma
frequently complicates hypertensive uveitis. Half of the patients had an elevated
IOP before topical corticosteroid treatment.