Neovascular Glaucoma with Ocular Ischemia in Superior Vena Cava Syndrome
Journal of the Korean Ophthalmological Society
;
: 1346-1351, 2012.
Artigo
em Coreano
| WPRIM
| ID: wpr-22535
ABSTRACT
PURPOSE:
To report a case of neovascular glaucoma (NVG) with ocular ischemia in superior vena cava syndrome (SVCS). CASESUMMARY:
A 57-year old male who had been treated for small cell lung cancer (SCLC) visited our hospital because of SVCS-like symptoms and decreased visual acuity in the right eye. On the initial examination, best corrected visual acuity was 0.5, intraocular pressure (IOP) was 38 mm Hg and relative afferent papillary defect was positive in the right eye. Slit lamp examination showed mild dilatation and tortuosity of the episcleral vessels and ruobeosis iridis. Gonioscopic examination showed neovascularization of the opened angle. Fluorescein angiography showed delayed choroidal filling and nevascularization of the disc. The patient was diagnosed with NVG with ocular ischemia in SVCS and was treated with chemotherapy and steroid therapy. In addition, intravitreal bevacizumab and IOP lowering eyedrops were administered to the right eye. During follow-up, neovascularizations disappeared and IOP was well controlled.CONCLUSIONS:
NVG with ocular ischemia in SVCS should be considered as a possible cause of high IOP in SCLC patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Soluções Oftálmicas
/
Veia Cava Superior
/
Síndrome da Veia Cava Superior
/
Angiofluoresceinografia
/
Acuidade Visual
/
Glaucoma Neovascular
/
Seguimentos
/
Corioide
/
Dilatação
/
Olho
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2012
Tipo de documento:
Artigo
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