Neovascular Glaucoma Associated with Chronic Rhegmatogenous Retinal Detachment

• 영문명: Neovascular Glaucoma Associated with Chronic Rhegmatogenous Retinal Detachment
• 발행기관: 대한안과학회
• 저자명: Dong Ik Kim Min Seok Kim Se Joon Woo
• 간행물 정보: 『The Korean Journal of Ophthalmology』Vol.37 No.3, 224~229쪽, 전체 6쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2023.05.31

영문 초록

Purpose: To demonstrate the clinical features and natural course of chronic retinal detachment-associated neovascular glaucoma. Methods: Ten patients, diagnosed with chronic retinal detachment-associated neovascular glaucoma during 2007-2016 were retrospectively investigated. Besides chronic retinal detachment, no patients had any neovascular glaucoma-predisposing conditions, such as carotid artery disease. Retinal perfusion status was evaluated from the fundus fluorescein angiography images. Results: The mean age of patients was 57.5 years (range, 22-78 years). Complete retinal reattachment was achieved in three eyes, while partial or total chronic retinal detachment persisted in seven eyes. Wide-angle fundus fluorescein angiography revealed peripheral retinal capillary obstruction and severe nonperfusion. Neovascular glaucoma developed 213.4 months (range, 17-634 months) after retinal detachment. Three eyes received Ahmed valve implantation, while five eyes received intravitreal bevacizumab injection. Intraocular pressure was controlled in 10 eyes. Two eyes developed phthisis bulbi during follow-up. Conclusions: In eyes with a chronic retinal detachment history, iris neovascularization and neovascular glaucoma can develop due to retinal capillary obstruction and chronic retinal ischemia, even after achieving retinal reattachment. We suggest regular follow-up examinations for patients with chronic retinal detachment, particularly for eyes with retinal nonperfusion, as detected on fundus fluorescein angiography.

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키워드

Angiography Neovascular glaucoma Retinal detachment