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Chapter-08 Recent Advances in Management of Posterior Uveitis

BOOK TITLE: Recent Advances in Ophthalmology—10

Author
1. Sudharshan S
2. Biswas Jyotirmay
3. Majumdar Parthopratim Dutta
ISBN
9789350252635
DOI
10.5005/jp/books/11256_8
Edition
1/e
Publishing Year
2011
Pages
22
Author Affiliations
1. Sankara Nethralaya Chennai, Tamil Nadu, India, Sankara Nethralaya, Chennai, Tamil Nadu, India, Sankara Nethralaya, Chennai, India, Medical Research Foundation, Sankara Nethralaya, Chennai, India, Sankara Nethralaya, A Unit of Medical Research Foundation, Nungambakkam, Chennai, Tamil Nadu, India, Uveitis Service, Sankara Nethralaya, Medical and Vision Research Foundation, Chennai, India
2. Medical and Vision Research Foundation Sankara Nethralaya, 18, College Road Chennai, India, Sankara Nethralaya, Chennai, Tamil Nadu, Ind, Sankara Nethralaya, A Unit of Medical Research Foundation, Nungambakkam, Chennai, Tamil Nadu, India, Sankara, Nethralaya, Chennai, Tamil Nadu, India, Medical Research Foundation, Sankara Nethralaya, Chennai, India, Sankara Nethralaya, Chennai, India, Medical and Vision Research Foundation, Shankara Nethralaya, Chennai, Medical and Vision Research Foundations, Chennai, Tamil Nadu, India, Sankara Nethralaya, Chennai, Tamil Nadu, India, Sankara Nethralaya, Medical and Vision Research Foundation, Chennai, India
3. Sankara Nethralaya, Kolkata, West Bengal, India
Chapter keywords

Abstract

The management of posterior uveitis is quiet challenging as the disease can cause visual loss if not promptly or adequately treated. Management involves a prompt clinical diagnosis, identification of the cause wherever possible and initiation of adequate treatment to salvage vision. Posterior uveitis can commonly be insidious in onset, though they can have an acute presentation. This sight threatening condition has pathognomic clinical features identifiable on clinical examination. According to the Standardization of Uveitis Nomenclature working group classification, posterior uveitis is defined as inflammation occurring in retina and choroid as the primary site. Posterior uveitis may involve adjacent structures such as retina, vitreous, optic nerve head, and retinal vessels. A thorough diagnostic work-up on the lines of the history of presenting complaints and manifesting signs and is mandatory. Ancillary investigations such as fundus fluorescein angiography, indocyanine green angiography, ultrasonography, optical coherence tomography and selective laboratory investigations help in confirming the diagnosis. It is of paramount importance to identify the probable etiology, as posterior uveitis can be infective or noninfective.

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