Neovascular glaucoma following Nd:YAG laser capsulotomy in a patient with diabetes and syphilitic uveitis
| Autor: | Yuan-Chieh Lee, Hong-Zin Lin |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Intraocular pressure Visual acuity genetic structures Bevacizumab medicine.medical_treatment Case Report Vitrectomy Neovascular glaucoma 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine Trabeculectomy Syphilitic uveitis Band keratopathy Medicine(all) Nd:YAG laser capsulotomy business.industry Diabetes General Medicine medicine.disease eye diseases Surgery 030221 ophthalmology & optometry Capsulotomy sense organs medicine.symptom business 030217 neurology & neurosurgery Uveitis medicine.drug |
| Zdroj: | Tzu-Chi Medical Journal |
| ISSN: | 1016-3190 |
| DOI: | 10.1016/j.tcmj.2015.06.005 |
| Popis: | A diabetic woman had been suffering from progressively blurry vision in the right eye for 1 year after cataract surgery. Slit lamp examination revealed bilateral band keratopathy with quiescent anterior-chamber reaction, an intumescent cataract in the left eye, and dense posterior capsular opacity in the right eye. Capsulotomy was performed, but this led to neovascular glaucoma. Because of a refractory elevation in intraocular pressure, trabeculectomy with mitomycin C treatment, vitrectomy with panretinal photocoagulation, and intravitreal injection of bevacizumab were performed. A positive rapid plasma reagin test and a positive Treponema pallidum hemagglutination assay led to the impression of syphilitic uveitis, and the patient was treated with intravenous penicillin for 2 weeks. The visual acuity of the right eye was 0.1 at the 12th-month follow up. This case shows that neovascular glaucoma may present as a complication of capsulotomy in uveitic/diabetic eyes. |
| Databáze: | OpenAIRE |
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