IJIMS.2019.122

Type of Article: Case Report

Volume 6; Issue 7: 2019

Page No.: 860-865

DOI: 10.16965/ijims.2019.122

90-DAY GLAUCOMA: A RARE CASE REPORT

R.N.Gogoi 1, Jayant Ekka 2, Sunanda Nandi *3.

1 Assistant Professor, Department of   Ophthalmology, Assam Medical College, Dibrugarh, Assam, India.

2 Post-Graduate Student, Department of Ophthalmology, Assam Medical College, Dibrugarh, Assam, India.

*3 Post -Graduate Student, Department of Ophthalmology, Assam Medical College, Dibrugarh, Assam, India.

Corresponding author: Dr. Sunanda Nandi, Post -Graduate Student, Department of Ophthalmology, Assam Medical College, Dibrugarh, Assam, India. E-Mail: sunanda.amc@gmail.com

ABSTRACT:

Neovascular glaucoma (NVG) also called as 90-day glaucoma, is a potentially devastating sequela of serious underlying ocular and/or systemic diseases. Anterior segment neovascularization involving the iris, the angle or both is accompanied by the formation of a fibrovascular membrane that obstructs the aqueous outflow through the trabecular meshwork and results in rise of IOP. Here we present a  case of a fifty seven year old male who presented with diminution of vision in left eye since 45 days associated with pain and redness L/E  since 15 days. On examination visual acquity of R/E was 6/6,N6 and in L/E patient denied perception of light. Our case presented with almost all features suggestive of NVG except that of rubeosis iridis which makes it unique, as to the best of our knowledge this has been very rarely reported anywhere in literature before.

Key words: Neovascular Glaucoma, Congestive Glaucoma, Gender, Gonioscopy, Unilateral.

REFERENCES

  1. Călugăru D, Călugăru M.Neovascular glaucoma–etipathogeny and diagnosis. Oftalmologia. 2012;56(2):3-14.
  2. Albert DM, Jakobiec FA. Neovascular Glaucoma. In: Albert DM, Jakobiec FA, editors. Principles and practice of ophthalmology. 1999, Philadelphia: WB Saunders Publishers.
  3. Mocanu C, Barascu D, Marinescu F. Neovascular glaucoma-Retrospective study. Ophthalmologica 2005;49:58-65.
  4. Shazly TA, Latina MA. Neovascular glaucoma etiology, diagnosis and prognosis. Semin Ophthalmol. 2009;24:113–21.
  5. Pedroso L, et al. The real cost of glaucoma treatment for an outpatient. Arq Bras Oftalmol. 1999;62(6):677–82.
  6. Shazly TA, Latina MA. Neovascular glaucoma: etiology, diagnosis and prognosis. Semin Ophthalmol. 2009;24(2):113–21.
  7. Hayreh SS. Neovascular glaucoma. Prog Retin Eye Res. 2007;26(5):470–85.
  8. Olmos LC, Lee RK. Medical and surgical treatment of neovascular glaucoma. Int Ophthalmol Clin. 2011;51(3):27–36.
  9. Grant WM, Walton DS. Progressive changes in the angle in congenital aniridia, with development of glaucoma. Transactions of the American Ophthalmological Society. 1974;72:207.
  10. Chen K-H, Wu C-C, Roy S, et al. Increased interleukin-6 in aqueous humor of neovascular glaucoma. Invest Ophthalmol Vis Sci 1999;40:2627.
  11. Shiba T, Takahashi M, Hori Y, Saishin Y, Sato Y, Maeno T. Relationship between sleep-disordered breathing and iris and/or angle neovascularization in proliferative diabetic retinopathy cases. American journal of ophthalmology. 2011 Apr 1;151(4):604-9.
  12. Madsen PH. Haemorrhagic glaucoma. Comparative study in diabetic and non-diabetic patients. Br J Ophthalmol. 1971;55:444–450.
  13. Ohrt V. The frequency of rubeosis iridis in diabetic patients. Acta Ophthalmol (Copenh) 1971;49:301–307.
  14. Browning DJ, Scott AQ, Peterson CB, et al. The risk of missing angle neovascularization by omitting screening gonioscopy in acute central retinal vein occlusion. Ophthalmology. 1998;105:776-784.
  15. Havens SJ, Gulati V. Neovascular glaucoma. InRetinal Pharmacotherapeutics 2016 (Vol. 55, pp. 196-204). Karger Publishers.
  16. Klein BE, Meuer SM, Knudtson MD, Klein R. The relationship of optic disk cupping to retinal vein occlusion: the Beaver Dam Eye Study. Am J Ophthalmol. 2006;141:859–862.
  17. Ogino K., Tsujikawa A., Murakami T., Muraoka Y., Kurashige Y., Yoshimura N. Grid photocoagulation combined with intravitreal bevacizumab for recurrent macular edema associated with retinal vein occlusion. Clin Ophthalmol. 2011;5:1031–1036
  18. Hayreh SS, Klugman MR, Podhajsky P, Servais GE, Perkins ES. Argon laser panretinal photocoagulation in ischemic central retinal vein occlusion. A 10-year prospective study. Graefes Arch Clin Exp Ophthalmol1990;228(4):281-296
  19. Nakatake S, Yoshida S, Nakao S, Arita R, Yasuda M, Kita T, Enaida H, Ohshima Y, Ishibashi T. Hyphema is a risk factor for failure of trabeculectomy in neovascular glaucoma: a retrospective analysis. BMC Ophthalmol2014;14:55.  https://PubMed.gov/24766841. DOI: 10.1186/1471-2415-14-55
  20. Shen CC, Salim S, Du H, Netland PA. Trabeculectomy versus Ahmed Glaucoma Valve implantation in neovascular glaucoma. Clin Ophthalmol2011;5:281-286.
  21. Sín M, Sínová I, Chrapek O, Prachařová Z, Karhanová M, Langová K, Rehák J. The effect of pars plan vitrectomy on oxygen saturation in retinal vessels–a pilot study. Acta Ophthalmol2014;92(4):328-331.  https://PubMed.gov/23848230. DOI: 10.1111/aos.12238

Download Full Text TOC