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Abstract #15476 Published in IGR 1-3
Primary antiphospholipid syndrome and neovascular glaucoma.
Liu E; Nijhawan N; Gladman D; Lam W-C; Buys YCanadian Journal of Ophthalmology 1999; 34: 349-352
This is a report on a 55 years old white woman who was sent in by her rheumatologist because of painful loss of vision of her left eye. She was known to have primary antiphospholipid syndrome. She had pressures of 60 mmHg in her left eye and a vision of counting fingers. The angle was closed with extensive neovascularisation. A diagnosis of neovascular glaucoma was made. Fluorescein angiography showed extensive arterial occlusions in both eyes. Medical therapy was installed and panretinal photocoagulation preformed. One month later she had an uneventful trabeculectomy with mitomycine-c. Other manifestations of the anti-phospholipid syndrome were also seen. The patient received anticoagulation therapy. There is one other reported case of neovascular glaucoma and some cases of angle closure glaucoma in SLE from uveal effusions and posterior scleritis.
Yvonne Buys, ECW 7-042, The Toronto Hospital, Western Division, 399 Bathurst St., Toronto ON M5T 2S8, Canada
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)
