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Journal of Ophthalmology
Volume 2015, Article ID 974870, 6 pages
http://dx.doi.org/10.1155/2015/974870
Clinical Study

Clinical Outcome of Hypertensive Uveitis

1CHU Saint-Pierre, Université Libre de Bruxelles (ULB), 1000 Brussels, Belgium
2CHU Brugmann, Université Libre de Bruxelles (ULB), 1000 Brussels, Belgium

Received 29 May 2015; Accepted 2 August 2015

Academic Editor: Gianluca Scuderi

Copyright © 2015 Deborah Lewkowicz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 () were older (50.6 y/35.7 y, ) and had more unilateral disease (100%/72.22%  ) than those with NVU (). 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, ) and maximal IOP (40.28/34.06 mmHg, ) but this was not significant when limited to the measurements before the use of topical corticosteroids ( and 0.160). Glaucoma occurred in 15 patients (24.59%) and was suspected in 11 (18.03%) without difference in viral and nonviral groups (). 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.