J Korean Neurol Assoc.  2003 Aug;21(4):415-418.

A Case of Neovascular Glaucoma Caused by Carotid Stenosis

Affiliations
  • 1Department of neurology, Asan Medical Center, University of Ulsan College of Medicine, Korea. jhlee@amc.seoul.kr
  • 2Department of ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Korea.

Abstract

Neovascular glaucoma (NVG) occurs when new fibrovascular tissues proliferate onto the chamber angle and obstruct the trabecular meshwork. We report a 62-year-old man who presented with progressive monocular visual loss that supervened on NVG. MR angiography and duplex sonography indicated stenosis of the right proximal internal carotid artery (ICA). A carotid endarterectomy was performed. But visual acuity was not improved. We suggest that early detection of NVG is critical for the prevention of visual loss and that rubeosis iridis and chemosis may be the clue to the presence of underlying carotid stenosis.

Keyword

Neovascular glaucoma; Carotid stenosis; Ocular ischemic syndrome

MeSH Terms

Angiography
Carotid Artery, Internal
Carotid Stenosis*
Constriction, Pathologic
Endarterectomy, Carotid
Glaucoma, Neovascular*
Humans
Middle Aged
Trabecular Meshwork
Visual Acuity
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