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Uveitic glaucoma management with recurrent uveitis episode

Ngurah Dwi Oka , I Gusti Ayu Ratna Suryaningrum, I Gusti Ayu Made Juliari, I Made Agus Kusumadjaja, Ni Kompyang Rahayu, Ni Ketut Niti Susila

Ngurah Dwi Oka
Department of Ophthalmology, Universitas Udayana, Sanglah Hospital Denpasar Bali. Email: ngurahdwioka@gmail.com

I Gusti Ayu Ratna Suryaningrum
Department of Ophthalmology, Universitas Udayana, Sanglah Hospital Denpasar Bali

I Gusti Ayu Made Juliari
Department of Ophthalmology, Universitas Udayana, Sanglah Hospital Denpasar Bali

I Made Agus Kusumadjaja
Department of Ophthalmology, Universitas Udayana, Sanglah Hospital Denpasar Bali

Ni Kompyang Rahayu
Ophthalmology Department, Faculty of Medicine, Udayana University, Bali Mandara Eye Hospital, Bali

Ni Ketut Niti Susila
Department of Ophthalmology, Universitas Udayana, Sanglah Hospital Denpasar Bali
Online First: June 01, 2020 | Cite this Article
Oka, N., Suryaningrum, I., Juliari, I., Kusumadjaja, I., Rahayu, N., Susila, N. 2020. Uveitic glaucoma management with recurrent uveitis episode. Bali Journal of Ophthalmology 4(1): 6-11. DOI:10.15562/bjo.v4i1.35


Purpose : This case report aims to discuss the clinical signs and management of uveitic glaucoma at Sanglah hospital.

Methods : Single case study has been followed up for 1 year 6 months

Results : A man 18 years old, complained of red eyes accompanied by blurred vision for 1 week before admitted to the hospital. Visual acuity on the right eye 1/300, on left eye 6/24 did not improve with pinhole. Anterior segment examination on both eyes found Van Herrick 3-4 posterior synechia at the 12-6 o’clock on the right eye and 11-1 o’clock left eye, hazy lens with iris pigmented and posterior segment examination found cloudy vitreous with decreasing reflex fundus. Intraocular pressure is 16 mmHg right eye and 49 mmHg left eye. The gonioscopy examination found a cilliary body in all quadrants on the right eye and found a scleral spur in the nasal quadrant with cilliary body in other quadrant on left eye.  Patients with a history and currently on treatment for uveitis with secondary glaucoma. Patients undergo with surgical combination and Nd YAG laser therapy.

Conclusion : Uveitic glaucoma is a disease with a high recurrence rate. A multidisciplinary approach is necessary to achieve a successful outcome. Combination of medical-surgery and routinely follow-up patients provide optimal result in this case.

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