Intraocular Surgery in Behçet’s Disease

Behçet’s disease (BD) is a multisystemic vasculitis characterized with multiorgan involvement presenting with recurrent oral and/or genital ulcerations, skin lesions and uveitis. Ocular involvement often occurs as remitting panuveitis and retinal vasculitis and the visual prognosis is poor if not treated properly. Relapsing uveitis attacks and chronic steroid administration during the treatment period may increase the risk of cataract and glaucoma formation. Also, recurrent uveitis may lead to severe visual compromise due to several posterior segment complications such as vitreous opacification, vitreoretinal interface changes, retinal neovascularization, cystoid macular edema and optic atrophy. Systemic drugs including steroids, immunosuppressive and biologic agents usually decrease the severity and frequency of the uveitis. Cataract, glaucoma and vitreoretinal surgeries in eyes with uveitis may show some difference from the general practise. In this manuscript, approach in anterior and posterior segment ocular surgeries in BD patients are reviewed.