TY - JOUR
T1 - Challenging management of neovascular glaucoma to achieve the best visual outcome
AU - Putera, Ikhwanuliman
AU - Suryono, Astrianda N.
AU - Artini, Widya
N1 - Publisher Copyright:
© 2020 The Author(s). Published by S. Karger AG, Basel.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Neovascular glaucoma (NVG) resulting from ischemic insults caused by various diseases, such as proliferative diabetic retinopathy and central vein occlusion, remains a challenging situation. This case report aims to describe the complex management of NVG, resulting from diabetic retinopathy, to achieve the best visual outcome. A 47-year-old male presented with poor visual acuity of both eyes. His right eye was inoperable. Ahmed valve implantation with intraoperative intravitreal bevacizumab injection was performed in his left eye. Panretinal photocoagulation was performed serially after phacoemulsification. However, intraocular pressure was found to be raised, thus necessitating 5-fluorouracil needling bleb revision and administration of intracameral bevacizumab injection. During 15 months of follow-up we were able to achieve the best visual outcome possible in this patient. Comprehensive management of NVG should be implemented with a multidisciplinary approach.
AB - Neovascular glaucoma (NVG) resulting from ischemic insults caused by various diseases, such as proliferative diabetic retinopathy and central vein occlusion, remains a challenging situation. This case report aims to describe the complex management of NVG, resulting from diabetic retinopathy, to achieve the best visual outcome. A 47-year-old male presented with poor visual acuity of both eyes. His right eye was inoperable. Ahmed valve implantation with intraoperative intravitreal bevacizumab injection was performed in his left eye. Panretinal photocoagulation was performed serially after phacoemulsification. However, intraocular pressure was found to be raised, thus necessitating 5-fluorouracil needling bleb revision and administration of intracameral bevacizumab injection. During 15 months of follow-up we were able to achieve the best visual outcome possible in this patient. Comprehensive management of NVG should be implemented with a multidisciplinary approach.
KW - Ahmed valve
KW - Anti-vascular endothelial growth factor
KW - Diabetic retinopathy
KW - Neovascular glaucoma
KW - Panretinal photocoagulation
UR - http://www.scopus.com/inward/record.url?scp=85081404916&partnerID=8YFLogxK
U2 - 10.1159/000506041
DO - 10.1159/000506041
M3 - Article
AN - SCOPUS:85081404916
VL - 11
SP - 85
EP - 91
JO - Case Reports in Ophthalmology
JF - Case Reports in Ophthalmology
SN - 1663-2699
IS - 1
ER -
