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Abstract #12288 Published in IGR 7-2
Exacerbation of neovascular glaucoma in a case following carotid endarterectomy
Takagi M; Ueki M; Kawahara A; Sugiyama T; Ikeda T; Inage K; Ogawa RJapanese Journal of Clinical Ophthalmology 2005; 59: 349-352
A 59-year-old male presented with decreased vision in his right eye. He had been diagnosed with diabetes mellitus 22 years before. His corrected visual acuity was 0.4 right and 1.2 left. Intraocular pressure (IOP) was 30 mmHg right and 18 mmHg left. The right eye showed rubeosis iridis. Peripheral anterior synechia (PAS) had formed over 80% of circumference. Fluorescein angiography showed arm-to-retina circulation time of 32 seconds. Systemic studies led to detection of 99% stenosis of right internal carotid artery, confirming the diagnosis of ocular ischemic syndrome. Medication and photocoagulation induced rigth IOP of 18 mmHg. Carotid endarterectomy was performed due to frequent left hemiparesis. Immediately after surgery, right IOP rose to 45 mmHg, necessitating filtering surgery. This case illustrates that sudden IOP rise is a liability following improved intraocular circulation in an eye with ocular ischemic syndrome. LA: Japanese
Dr. M. Takagi, Department of Ophthalmology, Osaka Medical College, 2-7 Daigaku Taka tsuki, Osaka 569-8686, 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)
