Combined central retinal artery and vein occlusion following trabeculectomy.

GMS ophthalmology cases Pub Date : 2022-06-28 eCollection Date: 2022-01-01 DOI:10.3205/oc000205
Albert John Bromeo, Sweet Jorlene Lerit, Patricia Grulla-Quilendrino, George Michael Sosuan, Edgar Leuenberger
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引用次数: 1

Abstract

Retinal vascular events may occur as rare complications of glaucoma procedures due to various factors, including exacerbation of ischemia in patients with pre-existing vascular comorbidities, toxic effect of mitomycin-C, and decompression retinopathy. We present the case of a 47-year-old hypertensive male who underwent trabeculectomy for advanced glaucoma in his right eye. At 3 weeks postoperatively, he presented with a drop in visual acuity to light perception with a spike in intraocular pressure. On examination, there was increased bleb vascularity as well as rubeosis. Fundoscopy revealed findings consistent with both central retinal artery occlusion and central retinal vein occlusion. Combined central retinal artery and vein occlusion is a rare retinal vascular condition. Neovascular glaucoma can occur as a sequelae of the ischemic process in the retina. Despite treatment, there is a poor visual prognosis, with the affected eye usually becoming blind from optic atrophy and neovascularization.

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小梁切除术后视网膜中央动静脉联合闭塞。
由于多种因素,视网膜血管事件可能作为青光眼手术的罕见并发症发生,包括先前存在血管合并症的患者缺血加剧,丝裂霉素c的毒性作用和减压性视网膜病变。我们提出的情况下,一个47岁的高血压男性谁接受小梁切除术晚期青光眼在他的右眼。术后3周,患者表现为对光的视敏度下降,眼压升高。检查时,有增加的水泡血管和红斑。眼底镜检查结果与视网膜中央动脉和视网膜中央静脉阻塞一致。视网膜中央动静脉合并闭塞是一种罕见的视网膜血管疾病。新生血管性青光眼可作为视网膜缺血过程的后遗症发生。尽管有治疗,但视力预后很差,受影响的眼睛通常因视神经萎缩和新生血管而失明。
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