Challenging Management of Neovascular Glaucoma to Achieve the Best Visual Outcome
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 achi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2020-02-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/506041 |
| _version_ | 1818848303530377216 |
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| author | Ikhwanuliman Putera Astrianda N. Suryono Widya Artini |
| author_facet | Ikhwanuliman Putera Astrianda N. Suryono Widya Artini |
| author_sort | Ikhwanuliman Putera |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T06:15:12Z |
| format | Article |
| id | doaj.art-c43ee39a26a94072ae6045a6037ed16e |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-19T06:15:12Z |
| publishDate | 2020-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-c43ee39a26a94072ae6045a6037ed16e2022-12-21T20:32:53ZengKarger PublishersCase Reports in Ophthalmology1663-26992020-02-01111859110.1159/000506041506041Challenging Management of Neovascular Glaucoma to Achieve the Best Visual OutcomeIkhwanuliman PuteraAstrianda N. SuryonoWidya ArtiniNeovascular 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.https://www.karger.com/Article/FullText/506041ahmed valveanti-vascular endothelial growth factordiabetic retinopathyneovascular glaucomapanretinal photocoagulation |
| spellingShingle | Ikhwanuliman Putera Astrianda N. Suryono Widya Artini Challenging Management of Neovascular Glaucoma to Achieve the Best Visual Outcome Case Reports in Ophthalmology ahmed valve anti-vascular endothelial growth factor diabetic retinopathy neovascular glaucoma panretinal photocoagulation |
| title | Challenging Management of Neovascular Glaucoma to Achieve the Best Visual Outcome |
| title_full | Challenging Management of Neovascular Glaucoma to Achieve the Best Visual Outcome |
| title_fullStr | Challenging Management of Neovascular Glaucoma to Achieve the Best Visual Outcome |
| title_full_unstemmed | Challenging Management of Neovascular Glaucoma to Achieve the Best Visual Outcome |
| title_short | Challenging Management of Neovascular Glaucoma to Achieve the Best Visual Outcome |
| title_sort | challenging management of neovascular glaucoma to achieve the best visual outcome |
| topic | ahmed valve anti-vascular endothelial growth factor diabetic retinopathy neovascular glaucoma panretinal photocoagulation |
| url | https://www.karger.com/Article/FullText/506041 |
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