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KMID : 0213520230370030224
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Korean Journal of Ophthalmology
2023 Volume.37 No. 3 p.224 ~ p.229
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Neovascular Glaucoma Associated with Chronic Rhegmatogenous Retinal Detachment
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Kim Dong-Ik
Kim Min-Seok
Woo Se-Joon
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Abstract
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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 wereretrospectively investigated. Besides chronic retinal detachment, no patients had any neovascular glaucoma-predisposingconditions, such as carotid artery disease. Retinal perfusion status was evaluated from the fundus fluorescein angiographyimages.
Results: The mean age of patients was 57.5 years (range, 22-78 years). Complete retinal reattachment was achieved in threeeyes, while partial or total chronic retinal detachment persisted in seven eyes. Wide-angle fundus fluorescein angiographyrevealed 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 receivedintravitreal bevacizumab injection. Intraocular pressure was controlled in 10 eyes. Two eyes developed phthisis bulbi duringfollow-up.
Conclusions: In eyes with a chronic retinal detachment history, iris neovascularization and neovascular glaucoma can developdue to retinal capillary obstruction and chronic retinal ischemia, even after achieving retinal reattachment. We suggest regularfollow-up examinations for patients with chronic retinal detachment, particularly for eyes with retinal nonperfusion, asdetected on fundus fluorescein angiography.
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KEYWORD
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Angiography, Neovascular glaucoma, Retinal detachment
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