The surgical management of chronic hypotony due to uveitis

Purpose Evaluate surgery in chronic hypotony secondary to uveitis. Method Retrospective analysis of six patients operated for chronic hypotony (less than or equal to5 mmHg) of at least 1 month's duration. Surgery involved removal of all traction and membranes on the ciliary processes. Use of oil was limited to patients with atrophic ciliary processes. Results The average postoperative follow-up was 24 months ( 12 - 43). The average pressure increase was 7 mmHg at 6 months. Four of six uveitis patients had significantly increased vision. Conclusion Improved vision, and a sustained pressure rise are possible in hypotonous uveitis. The presence of ciliary processes is necessary. However, they do not need to be intact