Tubes alleviate increased IOP in young patients with juvenile immune arthritis

SAN FRANCISCO — Glaucoma can be blinding in young patients with juvenile immune arthritis, and although medical management is limited, surgical management with tube implantation can be somewhat successful, according to one presenter’s observations. “I prefer valved tubes in these situations, mostly because of their predictability,” Joseph A. Caprioli, MD, said at the American Glaucoma Society annual meeting, adding that he prefers a rigid plate design rather than silicone. Potential problems include tube exposure due to erosion from steroids or eye rubbing, as well as iris adhesions.

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