THE EFFICACY OF GLAUCOMA TREATMENT AMONG UVEITIS PATIENTS AT KING HUSSEIN MEDICAL CENTRE

Munsif F. Alsalem*, MD, Mohannad Q. Albdour, MD, Ibrahim M. Alkilani, MD, Ghayda A. Aldurgham, MD, Tasneem K. Alja'afreh, MD, Ahmad E. Khatatbeh, MD and Ghayda Aldurgham MD

ABSTRACT

Aim: to assess types of glaucoma and visual outcome of treatment in patients suffering from uveitis. Method: this prospective study was conducted at the glaucoma clinic in King Hussein Medical Center between June 2022 and August 2023. All uveitis patients who were found to have glaucoma were included in the study. Intra ocular pressure (IOP) measurement were performed using Goldmann applanation tonometry. Type of glaucoma and treatment options presented to the patients were identified and success of therapy and extent of glaucoma damage were assessed using automated Humphrey visual field and optical coherent tomography. Any type of surgical intervention if needed will was reported. Best corrected visual acuity using Snellen chart was evaluated as well. The obtained results were analyzed and compared with other studies. Results: 80 patients (100 eyes) with a mean age of 44.3±12.3 years were included in the study. 48 patients were males. the most common cause for uveitis was idiopathic in 48 eyes (48%) , the most common known cause was Bechet disease (18%) followed by juvenile idiopathic uveitis (12%) and ankylosing spondylitis. The most common site of inflammation was anterior (60%) followed by panuveitis (22%), intermediate uveitis (16%) and posterior uveitis (4%). 80% of the cases were chronic and 96% were noninfectious. Anti-glaucoma medication was the most commonly used to treat glaucoma in uveitis patients. Surgery was used in only 4 eyes (4%). Conclusion: Anterior uveitis, chronic uveitis and Behcet’s disease were the most conditions encountered in glaucoma associated uveitis. Controlling both glaucoma and inflammation may greatly help in preserving vision and improve quality of life for patients with glaucoma associated uveitis.

Keywords: Glaucoma, uveitis.