J Korean Ophthalmol Soc.  1998 Aug;39(8):1683-1687.

Recovery from Neovascular Glaucoma after Treatment with Ahmed Glaucoma Valve Implantation in Ocular Ischemic Syndrome

• Lee DW
• Chung YT

Abstract

Ocular ischemic syndrome is caused by reduction of blood to the eyeball, which can prodece anterior and posterior segment ischemia. Initial symptom include sudden or gradual loss of vision and eyeball pain. Anterir segment findings are conjunctival injection, iris neovascularization(NV), angle NV,peripheralanterior synechiae, and lens opacity. Posterior segmentfindings are pale, cupped of edematous opticdisc, disc NV, retinal NV, retinal hemorrhage, cherry red spot, retinal arterioles attenuation or sclerosis, and centralretinal artery collapse with pressure on globe. We have experienced a patient who had left ophthalmic artery stenosis, right ophthalmic artery narrowing and neovascular glaucoma in both eyes. We report the case of ocular ischemic syndrome that had control of IOP, mild improvement of visual acuity and regression of neovascularization after Ahmed glaucoma valve implantation.

Keyword

Ahmed glaucoma valve implat; Iris neovascularization; Ocular ischemic syndrome

MeSH Terms

Arteries
Arterioles
Cataract
Constriction, Pathologic
Glaucoma*
Glaucoma, Neovascular*
Humans
Iris
Ischemia
Ophthalmic Artery
Prunus
Retinal Hemorrhage
Retinaldehyde
Sclerosis
Visual Acuity
Retinaldehyde