The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
a
a
Neovascular glaucoma
Photo by Professor Chua
Chung Nen
This 53 year-old diabetic man was referred
because of blurring of the right eye. Examination revealed a VA of 6/60 in
the right eye and 6/18 in the left. The IOP measured 46mmHg in the right eye
and 18mmHg in the left eye. The right eye showed rubeosis iridis and new
vessels elsewhere in the retina. The left eye showed new vessels of the
disc. He was started on oral acetazolamide and topical timolol and steroid.
The IOP decreased to 20mm Hg. Argon laser PRP was performed totaling around
2000 burnts in each eye (on two sessions within one week). However, the IOP
of the right eye returned to 45mmHg two days after the oral acetazolamide
was stopped. Trabeculectomy with MMC was performed. Post-operatively, the
IOP was controlled at 14mmHg despite hyphaema during the post-operative
period.
Hyphaema post-trabeculectomy for
neovascular glaucoma. Despite the flat bleb, the IOP was normal.
Gonioscopy with Goldmann lens shows
patent sclerotomy at 4 weeks post-operative and no signs of iris
neovascularization. The IOP was
normal.
