UVEITIC GLAUCOMA: RESULTS OF A RETROSPECTİVE CLİNİCAL, EPİDEMİOLOGİCAL AND ETİOPATHOGENETİC ANALYSİS

Abstract

Purpose - to evaluate the results of a comparative retrospective analysis of the clinical material of patients with uveal glaucoma (UG) based on the materials of the National Centre of Ophthalmology named after acad. Zarifa Aliyeva and branches of the Centre. Material And Methods- A retrospective analysis of the clinical material was 1172 patients over the age of 18 years with uveitis and UG according to the ve-year data of the National Centre of Ophthalmology named after acad. Zarifa Aliyeva, Masalli, Ganja branches and the data of the Sheki branch for two years of its functioning. Research methods: ophthalmic, laboratory, general clinical, statistical. Results- The absolute number of patients with uveal pathology was 1172 (47.9% in the acute stage, 52.1% in the chronic stage). Out of all 1172 patients diagnosed with Uveitis, 581 (49.6%) were diagnosed with uveal ocular hypertension (UOH). There was no statistical difference when comparing the frequency of detection of UOH depending on the stage of the inammatory process. Basically, out of 581 patients UOH was found with anterior uveitis (78.7%). Due to the use of special research methods (gonioscopy, tonometry, perimetry, optical coherence tomography, Heidelberg retinotomography), when changes in the optic nerve disc and the visual eld were detected, uveal glaucoma has been diagnosed. UG out of all 1172 patients was found in 134 patients (11.4%), mainly in the chronic stage of the uveal process (67.2%). Despite persistent recommendations to patients at risk of developing UG about the need for re-treatment, in the overwhelming majority cases of late visits of patients in the stage of already advanced glaucoma were recorded - 40.3%, requiring radical surgical treatment to eliminate late organic secondary complications of uveitis. Conclusion- In order to detect and treat UG in a timely manner, regular dynamic monitoring of patients with UOH is required both in the acute and in the chronic stages of the inammatory process of the vascular tract.