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Abstract #11548 Published in IGR 6-3
Neovascular glaucoma secondary to ocular ischemic syndrome
Higuchi R; Endo Y; Iwata S; Sugita M; Mizuki NJapanese Journal of Clinical Ophthalmology 2004; 58: 1457-1461
We reviewed 6 cases of ocular ischemic syndrome with neovascular glaucoma. The series comprised 5 males and 1 female. They were aged from 41 to 80 years, average 70 years. Associated diseases comprised systemic hypertension 5 cases, hyperlipemia 5 cases, diabetes mellitus 3 cases, cerebral infarction 3 cases, and glaucoma 2 cases. All the cases prolonged arm-to-retina circulation time. All the cases were treated by panretinal photocoagulation and cyclocryopexy. Trabeculectomy, urokinase infusion, or carotid bypass surgery was performed for one case each. Rubeosis iridis disappeard in 2 cases, followed by control of intraocular pressure after trabeculectomy. Rubeosis iridis persisted in the other 4 eyes. One eye became blind in spite of carotid bypass surgery. The findings show that ocular ischemic syndrome has a poor prognosis when associated with neovascular glaucoma. We advocate early diagnosis of ocular ischemic syndrome, particularly in high-risk patients. LA: Japanese
Dr. R. Higuchi, Department of Ophthalmology, Yokohama Minami-kyosai Hospital, 1-21-1 Mutsuurahigashi, Yokohama 236-0037, Japan
Classification:
9.4.5.1 Neovascular glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.5 Glaucomas associated with disorders of the retina, choroid and vitreous)