June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
Herpetic uveitis and its association with secondary glaucoma and/or ocular hypertension in the Instituto de Oftalmología "Fundación Conde de Valenciana" in the period 2010-2015.
Author Affiliations & Notes
  • Andres Uriostegui Rojas
    Uvea, Instituto de Oftalmología "Fundación Conde de Valenciana", Ciudad de Mexico, Ciudad de Mexico, Mexico
  • Deisy Diarte
    Uvea, Instituto de Oftalmología "Fundación Conde de Valenciana", Ciudad de Mexico, Ciudad de Mexico, Mexico
  • Maria Jose Salgado Canseco
    Uvea, Instituto de Oftalmología "Fundación Conde de Valenciana", Ciudad de Mexico, Ciudad de Mexico, Mexico
  • Miguel Pedroza-Seres
    Uvea, Instituto de Oftalmología "Fundación Conde de Valenciana", Ciudad de Mexico, Ciudad de Mexico, Mexico
  • Footnotes
    Commercial Relationships   Andres Uriostegui Rojas, None; Deisy Diarte, None; Maria Jose Salgado Canseco, None; Miguel Pedroza-Seres, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 3746. doi:
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      Andres Uriostegui Rojas, Deisy Diarte, Maria Jose Salgado Canseco, Miguel Pedroza-Seres; Herpetic uveitis and its association with secondary glaucoma and/or ocular hypertension in the Instituto de Oftalmología "Fundación Conde de Valenciana" in the period 2010-2015.. Invest. Ophthalmol. Vis. Sci. 2017;58(8):3746.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To describe the incidence of secondary glaucoma and/or ocular hypertension in patients with herpetic uveitis, as well as its therapeutic management in third level ophthalmologic center in Mexico.

Methods : A period of five years was analyzed through a database of patients that were seen in our uvea service from January 2010 to December 2015, with the diagnosis of herpetic uveitis (herpes simplex or varicela-zoster). Patients with 6 months follow-up of were included. Patients who did not follow up or who stopped medical treatment were excluded.

Results : We studied 264 patients with herpetic uveitis diagnosis and its association with secondary glaucoma or ocular hypertension; Only 14% (37 patients) of the total of patients developed secondary glaucoma and 18% (47 patients) developed ocular hypertension. Of the 14% of patients with uveitis glaucoma, 80% required treatment with an Ahmed valve implant (29 patients), versus 4% (9 patients) only medical treatment (hypotensive monotherapy); 47 patients (18%) who o whom developed ocular hypertension were treated with beta-blocker monotherapy. Regarding intraocular pressure, in the secondary glaucoma group the mean pre-treatment intraocular pressure was 31mmHg, the intraocular pressure after treatment was 12mmHg; in the ocular hypertension group the pre-treatment intraocular pressure was 24 mmHg; The intraocular pressure after treatment was 11 mmHg.

Conclusions : Herpetic uveitis is one of the most common pathologies in Ophthalmology and Ophthalmologic Emergency service therefore the importance of an early diagnosis that could avoid complications such as uveitis and/or ocular hypertension.

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

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