A Case of Neovascular Glaucoma Secondary to Ocular Ischemia
Objective: To present a case of neovascular glaucoma secondary to ocular ischemic syndrome following an uncomplicated phacoemulsification Methods: This is a case description of a 74-year-old male who developed blurred vision and increased intraocular pressure (IOP) two months after an uncomplicat...
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Philippine Academy of Ophthalmology
2022-12-01
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| Series: | Philippine Journal of Ophthalmology |
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| Online Access: | https://paojournal.com/index.php/pjo/article/view/56 |
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| author | James Paul S. Gomez, MD Amadeo A. Veloso, MD Edgar U. Leuenberger, MD |
| author_facet | James Paul S. Gomez, MD Amadeo A. Veloso, MD Edgar U. Leuenberger, MD |
| author_sort | James Paul S. Gomez, MD |
| collection | DOAJ |
| description | Objective: To present a case of neovascular glaucoma secondary to ocular ischemic syndrome following an uncomplicated phacoemulsification
Methods: This is a case description of a 74-year-old male who developed blurred vision and increased intraocular pressure (IOP) two months after an uncomplicated phacoemulsification cataract surgery with posterior chamber lens implantation of the left eye. There was iris neovascularization with absence of retinal dot/blot hemorrhages or neovascularization. The fluorescein angiogram (FA) showed delayed choroidal fluorescence and arteriovenous time. IOP-lowering medications and intravitreal injection of aflibercept were given. Carotid doppler test showed 70% stenosis of the ipsilateral artery but a subsequent magnetic resonance angiography (MRA) did not show evidence of significant stenosis.
Results: At his last consultation, visual acuity improved to counting fingers. IOP was maintained at 12 mmHg with one anti-glaucoma medication.
Conclusion: Ocular ischemia can confound the outcome of an uncomplicated cataract surgery. Doppler scans are usually chosen as the first-line exam for those suspected of carotid stenosis but, at times, may have contradictory results with MRA. |
| format | Article |
| id | doaj-art-e6555848005b4c7ca02365c9ca8f822a |
| institution | DOAJ |
| issn | 0031-7659 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Philippine Academy of Ophthalmology |
| record_format | Article |
| series | Philippine Journal of Ophthalmology |
| spelling | doaj-art-e6555848005b4c7ca02365c9ca8f822a2025-08-20T02:52:56ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592022-12-0147210611056A Case of Neovascular Glaucoma Secondary to Ocular IschemiaJames Paul S. Gomez, MD0Amadeo A. Veloso, MD1Edgar U. Leuenberger, MD2Asian Eye Institute, Makati, Metro ManilaAsian Eye Institute, Makati, Metro ManilaAsian Eye Institute, Makati, Metro ManilaObjective: To present a case of neovascular glaucoma secondary to ocular ischemic syndrome following an uncomplicated phacoemulsification Methods: This is a case description of a 74-year-old male who developed blurred vision and increased intraocular pressure (IOP) two months after an uncomplicated phacoemulsification cataract surgery with posterior chamber lens implantation of the left eye. There was iris neovascularization with absence of retinal dot/blot hemorrhages or neovascularization. The fluorescein angiogram (FA) showed delayed choroidal fluorescence and arteriovenous time. IOP-lowering medications and intravitreal injection of aflibercept were given. Carotid doppler test showed 70% stenosis of the ipsilateral artery but a subsequent magnetic resonance angiography (MRA) did not show evidence of significant stenosis. Results: At his last consultation, visual acuity improved to counting fingers. IOP was maintained at 12 mmHg with one anti-glaucoma medication. Conclusion: Ocular ischemia can confound the outcome of an uncomplicated cataract surgery. Doppler scans are usually chosen as the first-line exam for those suspected of carotid stenosis but, at times, may have contradictory results with MRA.https://paojournal.com/index.php/pjo/article/view/56neovascular glaucomaphacoemulsificationocular ischemic syndrome |
| spellingShingle | James Paul S. Gomez, MD Amadeo A. Veloso, MD Edgar U. Leuenberger, MD A Case of Neovascular Glaucoma Secondary to Ocular Ischemia Philippine Journal of Ophthalmology neovascular glaucoma phacoemulsification ocular ischemic syndrome |
| title | A Case of Neovascular Glaucoma Secondary to Ocular Ischemia |
| title_full | A Case of Neovascular Glaucoma Secondary to Ocular Ischemia |
| title_fullStr | A Case of Neovascular Glaucoma Secondary to Ocular Ischemia |
| title_full_unstemmed | A Case of Neovascular Glaucoma Secondary to Ocular Ischemia |
| title_short | A Case of Neovascular Glaucoma Secondary to Ocular Ischemia |
| title_sort | case of neovascular glaucoma secondary to ocular ischemia |
| topic | neovascular glaucoma phacoemulsification ocular ischemic syndrome |
| url | https://paojournal.com/index.php/pjo/article/view/56 |
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