Clinical Outcome of Hypertensive Uveitis

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. © 2015 deborah lewkowicz et al.