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Neovascular glaucoma and iridocyclitis in a case of unilateral internal carotid artery occlusion Maki Kuwata 1,2 , Kaoru Kobayashi 1,2 , Yusei Hiramoto 1,2 , Yayoi Otsu 1 , Takashi Matsubara 1,3 , Norikiyo Nishikawa 4 1Dept of Ophthalmol,Osaka Saiseikai Noe Hosp 2Dept of Ophthalmol,Kansai Med Univ 3Matsubara Eye Clin 4Tane Memorial Eye Hosp pp.1927-1933
Published Date 2010/11/15
DOI https://doi.org/10.11477/mf.1410103475
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Abstract. Purpose:To report a case of neovascular glaucoma and iridocyclitis secondary to unilateral occlusion of internal carotid artery. Case:A 64-year-old male was referred to us for hyphema in right eye and elevated intraocular pressure(IOP)in both eyes. Findings:Corrected visual acuity was 0.5 right and 0.6 left. IOP was 44 mmHg right and 55 mmHg left. Both eyes showed cells in the aqueous. The right eye showed rubeosis in the iris and chamber angle. The left eye showed keratic precipitates. Findings of diabetic retinopathy were absent. Fluorescein angiography showed protracted arm-to-retina circulation time. Carotid angiography showed occlusion of right internal carotid artery(ICA). IOP was initially controlled by topical and systemic medication. Total peripheral anterior synechia(PAS)developed in the right eye 2 months later followed by fluctuations of IOP. Visual field became defective 2 years later. Conclusion:ICA occlusion would have resulted in ischemia in the ipsilateral eye. IOP fluctuations may have been due to iridocyclitis with changes in ocular circulation and aqueous production secondary to ocular ischemia.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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